Bristol Bay Area Health Corporation, NPI 1336272095
Pharmacy in Dillingham, AK, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1336272095 |
| NPI Entity Type | Organization |
| Provider Name |
Bristol Bay Area Health Corporation
Other Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 6000 Kanakanak Road, Dillingham, AK, US |
| Provider Mailing Address | Po Box 130, Dillingham, AK, US, 995760130 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Robert J Clark |
| Official Position | CHIEF EXECUTIVE OFFICER |
| Phone | 907-842-5201 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pharmacy |
| Classification | |
| Group | |
| License No. | 345 |
| License State | AK |
| Description | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| AB261503 | DEA NUMBER | 01 | |
| 0202123 | NABP | 01 | |
| PH0067 | AK | MEDICAID | 05 |
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