Providence Health & Services Washington
Critical Access
1915 E Rezanof Dr, Kodiak
Alaska, 99615-6602
907-486-9550 Providence Health & Services Washington is a Critical Access in Kodiak, Alaska. It is located at 1915 E Rezanof Dr, Kodiak and it's customer support contact number is 907-486-9550. The authorized person of Providence Health & Services Washington is Donald Wayne Anderson Jr. who is Assistant Secretary Of Enrollments of the pharmacy and his contact number is 425-358-9786. Active license number of Providence Health & Services Washington is 285 for Critical Access in Alaska.
Providence Health & Services Washington is definition to come.
Pharmacy Details:
Providence Health & Services Washington type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Providence Health & Services Washington |
| Type: | Critical Access |
| Location: | 1915 E Rezanof Dr, Kodiak,
Alaska, 99615-6602 |
| Phone: | 907-486-9550 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Donald Wayne Anderson Jr. |
| Position: | Assistant Secretary Of Enrollments |
| Contact Number: | 425-358-9786 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1629054374 |
| NPI Enumeration Date: | 15 Dec, 2005 |
| NPI Last Update On: | 13 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services Washington are as mentioned below.
| Specialization | License Number | State | Status | |
| Critical Access | 285 | Alaska | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 3706,
Portland, Oregon |
| Zip: | 97208-3706 |
| Phone Number: | 907-486-9550 |
| Fax Number: | 907-486-9553 |
Patients can reach Providence Health & Services Washington at
1915 E Rezanof Dr, Kodiak, Alaska or can
call on customer care at 907-486-9550.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.