OrganizationActive
Providence Health & Services -Washington
NPI 1083695324 · Institutional Pharmacy · Kodiak, AK
Provider details
- NPI number
- 1083695324
- Entity type
- Organization
- Primary specialty
- Institutional PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Practice location
1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone: (907) 486-9550
Fax: (907) 486-9553
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3706
Portland, OR 97208-3706
Registry dates
- Enumerated
- 2005-11-11
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.