Organization Name: | PROVIDENCE SEWARD MEDICAL CENTER DRUG ROOM |
NPI Number: | 1356538748 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAY WILSON (STAFF MEMBER) |
Mailing Address: | 417 First Ave Seward |
State: | AK US |
Postal Code: | 996640365 |
Phone Number: | 9072247248 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2007 |
NPI Last Update Date: | 09/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | 23 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |