=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760340905
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ILIULIUK FAMILY &HEALTH SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/15/2026
-----------------------------------------------------
Last Update Date | 01/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 34 LAVELLE CT.
-----------------------------------------------------
City | UNALASKA
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99685-0144
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 907-581-1202
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 144
-----------------------------------------------------
City | UNALASKA
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99685-0144
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR, GRANTS MANAGEMENT AND HR
-----------------------------------------------------
Name | TERESA NOVAKOVICH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 907-581-1202
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------