COPPER RIVER NATIVE ASSOCIATION NPI 1962900100

NPI Information

COPPER RIVER NATIVE ASSOCIATION is an indian health service tribal urban indian health i t u pharmacy in Glennallen, 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. COPPER RIVER NATIVE ASSOCIATION NPI is 1962900100. The provider is registered as an organization entity type.
The provider Is Doing Business As Crna Pharmacy.

The provider's business location address is:

MILE 111.5 RICHARDSON HIGHWAY
GLENNALLEN, AK
ZIP 99588
Phone: (907) 822-5241
Fax: (907) 822-5695

The provider's authorized official is Paul Rude .
The authorized official title is Ceo and has the following contact phone number (907) 822-4251.

The enumeration date for this NPI number is 1/23/2018 and was last updated on 1/23/2018.

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:

Other Identifiers

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