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Contact Information

CORDOVA DRUG CO
516 1ST STREET
CORDOVA, AK99574-0220
 Phone: 907-424-3246
 Fax: 907-424-3245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CORDOVA DRUG CO

NPI Number 1720081326
LBN Legal business name CORDOVA DRUG CO
Authorized official DAVID OBRIEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2005
Last updated 04/12/2016 - About 10 years ago
Identifiers
AK License # PHAR9
AK Medicaid MS8109
AK Medicaid PH0009
Other 1996415 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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