61St Medical Squadron Sgsr in El Segundo - Military/u.s. Coast Guard Pharmacy
61St Medical Squadron Sgsr - NPI 1073612024
61St Medical Squadron Sgsr is a Military/u.s. Coast Guard Pharmacy in El Segundo, California. 61St Medical Squadron Sgsr practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Pharmacy. The NPI Number for 61St Medical Squadron Sgsr is 1073612024. The last update date is 2015-06-12.
61St Medical Squadron Sgsr's current location address is 483 N Aviation Bldg, El Segundo, California. You can contact this provider via phone number 3106532378 and fax number 3103631977. The mailing address for 61St Medical Squadron Sgsr is 483 N Aviation Bldg, El Segundo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 61St Medical Squadron Sgsr |
|---|---|
| Address | 483 N Aviation Bldg, El Segundo, California |
| Phone Number | 3106532378 |
| Fax Number | 3103631977 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF DHA |
|---|---|
| Authorized Official Name | Morales Hector |
| Telephone Number | 2105366650 |
NPI Number Detail
| NPI Number | 1073612024 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2015-06-12 |
Provider Mailing Address Detail
| Address | 483 N Aviation Bldg |
|---|---|
| City | El Segundo |
| State | California (CA) |
| Post Code | 902452808 |
| Phone Number | 3106532378 |
| Fax Number | 3103631977 |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Pharmacy |
|---|---|
| Taxonomy | 332000000X |
|
Definition: A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Co |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2066006 | PK |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to 61St Medical Squadron Sgsr by the Centers for Medicare & Medicaid Services?
The 61St Medical Squadron Sgsr has been issued the NPI (National Provider Identifier) 1073612024, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where 61St Medical Squadron Sgsr is located?
The 61St Medical Squadron Sgsr is situated at the following address: 483 N Aviation Bldg, El Segundo, CA, 902452808.
What is the 61St Medical Squadron Sgsr's area of specialization and corresponding taxonomy classification?
The 61St Medical Squadron Sgsr's specialty field is Military/u.s. Coast Guard Pharmacy, and it falls under the taxonomy code 332000000X, which categorizes healthcare providers based on their specialties.
When did the 61St Medical Squadron Sgsr receive its 1073612024?
The 61St Medical Squadron Sgsr was issued its 1073612024 on 2006-09-22, which is the date when the organization was assigned this unique identifier.
When was the 61St Medical Squadron Sgsr's information last updated?
The 61St Medical Squadron Sgsr's information was last updated on 2015-06-12.