Kelly Op Phcy in Kelly Afb - Military/u.s. Coast Guard Pharmacy

Kelly Op Phcy - NPI 1386743524

Kelly Op Phcy is a Military/u.s. Coast Guard Pharmacy in Kelly Afb, Texas. Kelly Op Phcy practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Pharmacy. The NPI Number for Kelly Op Phcy is 1386743524. The last update date is 2009-03-26.

Kelly Op Phcy's current location address is 204 Wagner Dr, Kelly Afb, Texas. You can contact this provider via phone number 2109258304 and fax number 2102921962. The mailing address for Kelly Op Phcy is 204 Wagner Dr, Kelly Afb, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kelly Op Phcy
Address 204 Wagner Dr, Kelly Afb, Texas
Phone Number 2109258304
Fax Number 2102921962
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MGR PHRMCY
Authorized Official Name Morales Hector
Telephone Number 2102218443

NPI Number Detail

NPI Number 1386743524
Provider Enumeration Date 2006-09-22
Last Updated Date 2009-03-26

Provider Mailing Address Detail

Address 204 Wagner Dr
City Kelly Afb
State Texas (TX)
Post Code 782415846
Phone Number 2109258304
Fax Number 2102921962

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
4511944 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Kelly Op Phcy

What is the unique 10-digit identification code assigned to Kelly Op Phcy by the Centers for Medicare & Medicaid Services?

The Kelly Op Phcy has been issued the NPI (National Provider Identifier) 1386743524, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kelly Op Phcy's facilities are situated?

The facilities of Kelly Op Phcy are physically located at the following address: 204 Wagner Dr, Kelly Afb, TX, 782415846.

What is Kelly Op Phcy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kelly Op Phcy is Military/u.s. Coast Guard Pharmacy, and the corresponding taxonomy classification code for this specialized field is 332000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1386743524 to Kelly Op Phcy?

The Centers for Medicare & Medicaid Services assigned the 1386743524 to Kelly Op Phcy on 2006-09-22.

As of what date was the information pertaining to Kelly Op Phcy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kelly Op Phcy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-03-26.

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