Organization
ISLAND PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE CHRISTENSEN (OWNER)
(907) 225-6186
Entity
Organization
Contact information
Practice address
3526 TONGASS AVE, KETCHIKAN, AK 99901-5635
(907) 225-6186
(907) 225-6187
Mailing address
3526 TONGASS AVE, KETCHIKAN, AK 99901-5635
(907) 225-6186
(907) 226-6187
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
66
AK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200496
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
MS0066
—
AK
05
—
PH0066
—
AK
Enumeration date
10/20/2006
Last updated
03/24/2022
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