National Provider Identifier Database

MANIILAQ ASSOCIATION
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

MANIILAQ ASSOCIATION
436 5TH & TED STEVENS WAY
KOTZEBUE, AK99752
Phone: 907-442-3321
Fax: 907-442-7250
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for MANIILAQ ASSOCIATION

NPI Number 1740484989
Legal business name
LBN
MANIILAQ ASSOCIATION
Authorized official PAUL HANSON - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 06/12/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 234051
  • AK Medicaid: PH4146

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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