SOUTHCENTRAL FOUNDATION is an indian health service tribal urban indian health i t u pharmacy in Wasilla, AK. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. SOUTHCENTRAL FOUNDATION NPI is 1760739601. The provider is registered as an organization entity type.
The provider's business location address is:
1001 S KNIK GOOSE BAY RD
WASILLA, AK
ZIP 99654-083
Phone: (907) 631-7800
Fax: (907) 631-7619
The provider's authorized official is Ronald Lee Olson .
The authorized official title is Vp Finance and has the following contact phone number (907) 729-4939.
The enumeration date for this NPI number is 8/9/2012 and was last updated on 8/21/2014.