355Th Medical Group Sgsl in Davis Monthan Afb - Military/u.s. Coast Guard Pharmacy
355Th Medical Group Sgsl - NPI 1205935244
355Th Medical Group Sgsl is a Military/u.s. Coast Guard Pharmacy in Davis Monthan Afb, Arizona. 355Th Medical Group Sgsl practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Pharmacy. The NPI Number for 355Th Medical Group Sgsl is 1205935244. The last update date is 2016-02-12.
355Th Medical Group Sgsl's current location address is C O Staff Sgt Blueford, Davis Monthan Afb, Arizona. You can contact this provider via phone number 5202283019 and fax number 5202287259. The mailing address for 355Th Medical Group Sgsl is C O Staff Sgt Blueford, Davis Monthan Afb, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 355Th Medical Group Sgsl |
|---|---|
| Address | C O Staff Sgt Blueford, Davis Monthan Afb, Arizona |
| Phone Number | 5202283019 |
| Fax Number | 5202287259 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF DHA |
|---|---|
| Authorized Official Name | Morales Hector |
| Telephone Number | 2105366650 |
NPI Number Detail
| NPI Number | 1205935244 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2016-02-12 |
Provider Mailing Address Detail
| Address | C O Staff Sgt Blueford |
|---|---|
| City | Davis Monthan Afb |
| State | Arizona (AZ) |
| Post Code | 857076097 |
| Phone Number | 5202283019 |
| Fax Number | 5202287259 |
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 |
|---|---|---|---|
| 1990502 | PK |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to 355Th Medical Group Sgsl by the Centers for Medicare & Medicaid Services?
The 355Th Medical Group Sgsl has been assigned the NPI (National Provider Identifier) 1205935244 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of 355Th Medical Group Sgsl?
The 355Th Medical Group Sgsl is physically situated at C O Staff Sgt Blueford, in the city of Davis Monthan Afb, state of AZ, with the postal code 857076097.
What is 355Th Medical Group Sgsl's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for 355Th Medical Group Sgsl 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 originally issue the 1205935244 to 355Th Medical Group Sgsl?
The Centers for Medicare & Medicaid Services originally issued the 1205935244 to 355Th Medical Group Sgsl on 2006-09-22.
As of what date were the details related to 355Th Medical Group Sgsl most recently updated or revised?
The information pertaining to 355Th Medical Group Sgsl, including its address, specialty, and other relevant details, was last updated or revised on 2016-02-12.