Provider Demographics
NPI:1801899257
Name:ARCTIC SLOPE NATIVE ASSOCIATION
Entity type:Organization
Organization Name:ARCTIC SLOPE NATIVE ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:NAPOLEON
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYECHI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:907-852-9277
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:BARROW
Mailing Address - State:AK
Mailing Address - Zip Code:99723-0029
Mailing Address - Country:US
Mailing Address - Phone:907-852-9277
Mailing Address - Fax:907-852-4237
Practice Address - Street 1:1296 AGVIK STREET
Practice Address - Street 2:
Practice Address - City:BARROW
Practice Address - State:AK
Practice Address - Zip Code:99723-0029
Practice Address - Country:US
Practice Address - Phone:907-852-9277
Practice Address - Fax:907-852-4237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK309333600000X, 332800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered332800000XSuppliersIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKPH0309Medicaid