55Th Medical Group Sgsl in Offutt - Pharmacy
55Th Medical Group Sgsl - NPI 1003915430
55Th Medical Group Sgsl is a Pharmacy in Offutt, Nebraska. 55Th Medical Group Sgsl practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for 55Th Medical Group Sgsl is 1003915430. The last update date is 2016-02-08.
55Th Medical Group Sgsl's current location address is Bldg 107 Rm 101, Offutt, Nebraska. You can contact this provider via phone number 4022943221 and fax number 4022943228. The mailing address for 55Th Medical Group Sgsl is Bldg 107 Rm 101, Offutt, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 55Th Medical Group Sgsl |
|---|---|
| Address | Bldg 107 Rm 101, Offutt, Nebraska |
| Phone Number | 4022943221 |
| Fax Number | 4022943228 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF DHA |
|---|---|
| Authorized Official Name | Morales Hector |
| Telephone Number | 2105366650 |
NPI Number Detail
| NPI Number | 1003915430 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2016-02-08 |
Provider Mailing Address Detail
| Address | Bldg 107 Rm 101 |
|---|---|
| City | Offutt |
| State | Nebraska (NE) |
| Post Code | 68113 |
| Phone Number | 4022943221 |
| Fax Number | 4022943228 |
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 |
|---|---|---|---|
| 2055513 | PK |
Post Comment/ Review Below
What is the unique identifier code issued to 55Th Medical Group Sgsl by the Centers for Medicare & Medicaid Services?
The 55Th Medical Group Sgsl has been assigned the NPI (National Provider Identifier) 1003915430. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the 55Th Medical Group Sgsl's physical address?
The 55Th Medical Group Sgsl is physically located at Bldg 107 Rm 101, in the city of Offutt, NE, with the postal code 68113.
What is 55Th Medical Group Sgsl's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The 55Th Medical Group Sgsl's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
On what date did 55Th Medical Group Sgsl receive its 1003915430 assignment from the Centers for Medicare & Medicaid Services?
The 55Th Medical Group Sgsl was assigned its 1003915430 on 2006-09-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to 55Th Medical Group Sgsl most recently updated or revised?
The details related to 55Th Medical Group Sgsl, including its address, specialty, and other relevant information, were last updated or revised on 2016-02-08.