Organization
CORDOVA DRUG CO
Active
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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