OrganizationActive
Ketchikan Indian Corporation
NPI 1699983361 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Ketchikan, AK
Provider details
- NPI number
- 1699983361
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Wendy Ross, Rcm(907) 228-9254
Specialties & taxonomies
Suppliers
Practice location
2960 Tongass Ave
Ketchikan, AK 99901-5742
Phone: (907) 225-0320
Fax: (907) 247-4819
Approximate (ZIP-level) locationGet directions
Mailing address
2960 Tongass Ave
Ketchikan, AK 99901-5742
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2023-03-07
- Certified
- 2021-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.