Southeast Alaska Regional Health Consortium
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Juneau, AK. Organization (NPI-2).
NPI number1619704053
StatusActive
Last updated in NPPESSep 20, 2024
Details
- NPI
- 1619704053
- Entity type
- Organization (NPI-2)
- Legal business name
- Southeast Alaska Regional Health Consortium
- Organization subpart
- No
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 20, 2024
- Last updated
- Sep 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | – | – | Yes |
Other names
- Searhc Mendenhall Valley Pharmacy (Doing Business As)
Practice location
9101 Mendenhall Mall RdJuneau, AK 99801-7165
Phone 907-463-0420 · Fax 907-463-0421
Mailing address
3100 Channel Dr Ste 300Juneau, AK 99801-7837
Phone 907-463-4074 · Fax 907-463-1510
Authorized official
Daniel Harris
Svp/ Chief Financial Officer
9074634000
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