Organization
ALASKA ISLAND COMMUNITY SERVICES
Active
Other names
Alaska Island Community Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WALKER (EXECUTIVE DIRECTOR)
(907) 874-2373
Entity
Organization
Contact information
Practice address
333 CHURCH ST, WRANGELL, AK 99929
(907) 874-5005
(907) 874-4719
Mailing address
PO BOX 1231, WRANGELL, AK 99929-1231
(907) 874-5005
(907) 874-4719
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
471
AK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122841
PK
—
Enumeration date
12/07/2009
Last updated
03/15/2017
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