Providence Health & Services -Washington
Providence Health & Services -Washington is an Institutional Pharmacy in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2005.
- Licensed in
- AK
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
1915 E Rezanof DrKodiak, AK 99615-6602
Phone: (907) 486-9550
Fax: (907) 486-9553
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Institutional Pharmacy (primary) | Taxonomy 3336I0012X · Licence PHAR355 (AK) |
|---|---|
| Long Term Care Pharmacy | Taxonomy 3336L0003X |
Record details
| NPI number | 1083695324 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| NPI enumerated | November 11, 2005 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
| Mailing address | Po Box 3706, Portland, OR 97208-3706 |