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BRISTOL BAY AREA HEALTH CORPORATION NPI 1336272095


NPI Information

NPI: 1336272095
Provider Name: BRISTOL BAY AREA HEALTH CORPORATION

Other Name: KANAKANAK PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
6000 KANAKANAK ROAD
DILLINGHAM, AK
ZIP 99576
Phone: (907) 842-5201
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BRISTOL BAY AREA HEALTH CORPORATION is a pharmacy in Dillingham, AK. The provider is 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. BRISTOL BAY AREA HEALTH CORPORATION NPI is 1336272095. The provider is registered as an organization entity type.
The provider Other Name Is Kanakanak Pharmacy.

The provider's business location address is:

6000 KANAKANAK ROAD
DILLINGHAM, AK
ZIP 99576
Phone: (907) 842-5201
Fax: (907) 842-9250

The provider's authorized official is Robert J Clark .
The authorized official title is Chief Executive Officer and has the following contact phone number (907) 842-5201.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy345ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10202123OTHERNABP
2PH0067MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.