509Th Medical Group Sgsl in Whiteman Afb - Military/u.s. Coast Guard Pharmacy
509Th Medical Group Sgsl - NPI 1518066943
509Th Medical Group Sgsl is a Military/u.s. Coast Guard Pharmacy in Whiteman Afb, Missouri. 509Th Medical Group Sgsl practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Pharmacy. The NPI Number for 509Th Medical Group Sgsl is 1518066943. The last update date is 2016-01-22.
509Th Medical Group Sgsl's current location address is 331 Sijen Ave, Whiteman Afb, Missouri. You can contact this provider via phone number 6606872137 and fax number 6606871878. The mailing address for 509Th Medical Group Sgsl is 331 Sijen Ave, Whiteman Afb, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 509Th Medical Group Sgsl |
|---|---|
| Address | 331 Sijen Ave, Whiteman Afb, Missouri |
| Phone Number | 6606872137 |
| Fax Number | 6606871878 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF DHA |
|---|---|
| Authorized Official Name | Morales Hector |
| Telephone Number | 2105366650 |
NPI Number Detail
| NPI Number | 1518066943 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2016-01-22 |
Provider Mailing Address Detail
| Address | 331 Sijen Ave |
|---|---|
| City | Whiteman Afb |
| State | Missouri (MO) |
| Post Code | 653051269 |
| Phone Number | 6606872137 |
| Fax Number | 6606871878 |
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 |
|---|---|---|---|
| 2048291 | PK |
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What is the unique 10-digit identifier code issued to 509Th Medical Group Sgsl by the Centers for Medicare & Medicaid Services?
The 509Th Medical Group Sgsl has been assigned the NPI (National Provider Identifier) 1518066943 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the 509Th Medical Group Sgsl located?
The 509Th Medical Group Sgsl is located at 331 Sijen Ave, Whiteman Afb, MO 653051269.
What is 509Th Medical Group Sgsl's specialized field of practice, and what is the corresponding taxonomy classification code?
The 509Th Medical Group Sgsl's area of specialization is Military/u.s. Coast Guard Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 332000000X.
On what date did the 509Th Medical Group Sgsl receive the assignment of its 1518066943 from the Centers for Medicare & Medicaid Services?
The 509Th Medical Group Sgsl was issued its 1518066943 by the Centers for Medicare & Medicaid Services on 2006-09-22.
When was the information regarding 509Th Medical Group Sgsl most recently updated?
The details pertaining to the 509Th Medical Group Sgsl, including its address, specialty, and other relevant information, were last refreshed on 2016-01-22.