Chief Andrew Isaac Health Center Pharmacy

LBN: Tanana Chiefs Conference
Chief Andrew Isaac Health Center Pharmacy is an health care organization with primary practice located at 1717 W Cowles St , Fairbanks AK 99701-5926. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Tanana Chiefs Conference can be contacted via phone (907) 459-3807, or through Nelson, Daniel via phone (907) 451-6682.

Contact Information

Primary practice address
1717 W Cowles St Fairbanks AK 99701-5926
Phone: (907) 459-3807
Fax: (907) 459-3910
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Daniel PHARMD
Phone: (907) 451-6682

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 483 Alaska
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1649385667
LBN Legal business name Tanana Chiefs Conference
DBA Doing business as Chief Andrew Isaac Health Center Pharmacy
Authorized official Nelson, Daniel PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 19th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649385667 NPPES
Other 1996984 PK
MEDICAID PH0156 PK
MEDICAID 0000 PK

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