Organization
TANANA CHIEFS CONFERENCE
Active
Other names
CHIEF ANDREW ISAAC HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL NELSON PHARMD (PHCY DIR)
(907) 451-6682
Entity
Organization
Contact information
Practice address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 459-3807
(907) 459-3910
Mailing address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 459-3807
(907) 459-3910
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
483
AK
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
AK
01
—
1996984
PK
—
05
—
PH0156
—
AK
Enumeration date
08/20/2006
Last updated
09/19/2025
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