Organization
CORDOVA DRUG CO
Active
Other names
CORDOVA DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID OBRIEN BS PHARMACY (OWNER)
(907) 424-3246
Entity
Organization
Contact information
Practice address
516 1ST STREET, CORDOVA, AK 99574-0220
(907) 424-3246
(907) 424-3245
Mailing address
PO BOX 220, CORDOVA, AK 99574-0220
(907) 424-3246
(907) 424-3245
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR9
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996415
PK
—
05
—
MS8109
—
AK
05
—
PH0009
—
AK
Enumeration date
05/27/2005
Last updated
04/12/2016
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