42D Medical Group in Maxwell Afb - Military/u.s. Coast Guard Pharmacy

42D Medical Group - NPI 1033196878

42D Medical Group is a Military/u.s. Coast Guard Pharmacy in Maxwell Afb, Alabama. 42D Medical Group practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Pharmacy. The NPI Number for 42D Medical Group is 1033196878. The last update date is 2014-03-03.

42D Medical Group's current location address is 300 South Twining St, Maxwell Afb, Alabama. You can contact this provider via phone number 3349534943 and fax number 3349531741. The mailing address for 42D Medical Group is 300 South Twining St, Maxwell Afb, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization 42D Medical Group
Address 300 South Twining St, Maxwell Afb, Alabama
Phone Number 3349534943
Fax Number 3349531741
Sole Proprietor --
Credentials --

Authorized Official

Title or Position AIR FORCE
Authorized Official Name Mitchell Marie Theresa
Telephone Number 7036817613

NPI Number Detail

NPI Number 1033196878
Provider Enumeration Date 2005-12-22
Last Updated Date 2014-03-03

Provider Mailing Address Detail

Address 300 South Twining St
City Maxwell Afb
State Alabama (AL)
Post Code 361126219
Phone Number 3349534943
Fax Number 3349531741

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
127123 AL NCPDP

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FAQs about 42D Medical Group

What is the unique 10-digit identifier code assigned to 42D Medical Group by the Centers for Medicare & Medicaid Services?

The 42D Medical Group has been issued the NPI (National Provider Identifier) 1033196878 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where 42D Medical Group is physically located?

The 42D Medical Group is physically situated at the following address: 300 South Twining St, Maxwell Afb, AL, 361126219.

What is 42D Medical Group's specialized field of practice, and what is the corresponding taxonomy classification code?

The 42D Medical Group'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 42D Medical Group receive the assignment of its 1033196878 from the Centers for Medicare & Medicaid Services?

The 42D Medical Group was issued its 1033196878 by the Centers for Medicare & Medicaid Services on 2005-12-22.

When was the information regarding 42D Medical Group most recently updated?

The details pertaining to the 42D Medical Group, including its address, specialty, and other relevant information, were last refreshed on 2014-03-03.

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