Organization · NPI-2

Southcentral Foundation

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Anchorage, AK

NPI number1366587743
StatusActive
Last updated in NPPESSep 1, 2023

Details

NPI
1366587743
Entity type
Organization (NPI-2)
Legal business name
Southcentral Foundation
Organization subpart
Yes
Enumeration date
Feb 21, 2007
Certification date
Sep 1, 2023
Last updated
Sep 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy––Yes

Other names

  • Pharmacy- Rasu (Doing Business As)

Practice location

4160 Tudor Centre Dr
Anchorage, AK 99508-5901

Phone 907-729-4160

Mailing address

Po Box 35198
Seattle, WA 98124-5198

Authorized official

Ronald Lee Olson
Executive Vice President Finance
9077294939

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