21St Medical Group in Peterson Afb - Pharmacy
21St Medical Group - NPI 1548369259
21St Medical Group is a Pharmacy in Peterson Afb, Colorado. 21St Medical Group practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for 21St Medical Group is 1548369259. The last update date is 2016-01-13.
21St Medical Group's current location address is 559 Vincent St, Peterson Afb, Colorado. You can contact this provider via phone number 7193332273 and fax number 7195561106. The mailing address for 21St Medical Group is 559 Vincent St, Peterson Afb, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 21St Medical Group |
|---|---|
| Address | 559 Vincent St, Peterson Afb, Colorado |
| Phone Number | 7193332273 |
| Fax Number | 7195561106 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF DHA |
|---|---|
| Authorized Official Name | Morales Hector |
| Telephone Number | 2105366650 |
NPI Number Detail
| NPI Number | 1548369259 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2016-01-13 |
Provider Mailing Address Detail
| Address | 559 Vincent St |
|---|---|
| City | Peterson Afb |
| State | Colorado (CO) |
| Post Code | 809141541 |
| Phone Number | 7193332273 |
| Fax Number | 7195561106 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2003352 | PK |
Post Comment/ Review Below
What is the unique identification code assigned to 21St Medical Group by the Centers for Medicare & Medicaid Services?
The 21St Medical Group has been issued the NPI (National Provider Identifier) 1548369259. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where 21St Medical Group is geographically located?
The 21St Medical Group is physically situated at the following location: 559 Vincent St, Peterson Afb, CO, 809141541.
What is 21St Medical Group's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for 21St Medical Group is Pharmacy, and the corresponding taxonomy classification code for this specialized field is 333600000X.
On what date did the 21St Medical Group receive its 1548369259 assignment from the Centers for Medicare & Medicaid Services?
The 21St Medical Group was assigned its 1548369259 by the Centers for Medicare & Medicaid Services on 2006-09-21.
When was the information pertaining to 21St Medical Group most recently updated or revised?
The details related to 21St Medical Group, including its address, specialty, and other relevant information, were last updated or revised on 2016-01-13.