628 Medical Group in - Military/u.s. Coast Guard Pharmacy
628 Medical Group - NPI 1114905775
628 Medical Group is a Military/u.s. Coast Guard Pharmacy in , . 628 Medical Group practices all healthcare services and medical treatments related to Military/u.s. Coast Guard Pharmacy. The NPI Number for 628 Medical Group is 1114905775. The last update date is 2012-01-27.
628 Medical Group's current location address is , , . You can contact this provider via phone number . The mailing address for 628 Medical Group is , , . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 628 Medical Group |
|---|---|
| Address | , , |
| Phone Number | |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AIR FORCE |
|---|---|
| Authorized Official Name | Hansken Lynn Serena |
| Telephone Number | 7035886419 |
NPI Number Detail
| NPI Number | 1114905775 |
|---|---|
| Provider Enumeration Date | 2006-01-04 |
| Last Updated Date | 2012-01-27 |
Provider Mailing Address Detail
| Address | |
|---|---|
| City | |
| State | () |
| Post Code | |
| Phone Number | |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military/u.s. Coast Guard Pharmacy |
|---|---|
| Taxonomy | 332000000X |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42-22181 | SC | NCPDP |
Post Comment/ Review Below
What is the unique identifier code issued to 628 Medical Group by the Centers for Medicare & Medicaid Services?
The 628 Medical Group has been assigned the NPI (National Provider Identifier) 1114905775. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where 628 Medical Group's facilities are geographically located?
The facilities of 628 Medical Group are physically situated at the following location: , , , .
What is 628 Medical Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for 628 Medical Group is Military/u.s. Coast Guard Pharmacy, and the taxonomy code that categorizes this field of expertise is 332000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114905775 to 628 Medical Group?
The Centers for Medicare & Medicaid Services assigned the 1114905775 to 628 Medical Group on 2006-01-04.
As of what date were the details related to 628 Medical Group most recently updated or revised?
The information pertaining to 628 Medical Group, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-27.
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