Organization
ALASKA ISLAND COMMUNITY SERVICES
Active
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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