National Provider Identifier Database

PROVIDENCE HEALTH SERVICES WASHINGTON
Institutional Pharmacy

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

PROVIDENCE HEALTH & SERVICES -WASHINGTON
1915 E REZANOF DR
KODIAK, AK99615-6602
Phone: 907-486-9550
Fax: 907-486-9553
Website:
Specialty Taxonomy Code
* Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES -WASHINGTON

NPI Number 1083695324
Legal business name
LBN
PROVIDENCE HEALTH & SERVICES -WASHINGTON
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY OF ENROLLMENTS)
Entity Organization
Organization subpart No
Enumeration date 11/11/2005
Last updated 05/15/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: PHAR355
  • Other: 1997047 PK

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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