Organization · Type 2 NPI

Southcentral Foundation

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Wasilla, AK

NPI number 1760739601 Active

Practice location

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083

Fax (907) 631-7619

Specialties and licenses

TaxonomyCodeLicense
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary 332800000X20467 (AK)

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

107 other providers at this address

About NPI 1760739601

Southcentral Foundation's National Provider Identifier is 1760739601, issued on Aug 9, 2012. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Wasilla, AK. The record was last updated on Jun 5, 2026.