55th Medical Group Sgsl

NPI #1003915430 in Offutt, Nebraska

Provider Information

NPI Number: 1003915430
Entity Type: Organization
Organization Name: 55th Medical Group Sgsl
Primary Specialty: Military/U.S. Coast Guard Pharmacy
Enumeration Date: Sep 22, 2006
Last Updated: Feb 8, 2016

Practice Location

Address: BLDG 107 RM 101
City: Offutt
State: Nebraska
ZIP Code: 68113
Phone: (402) 294-3221

Authorized Official

Name: HECTOR MORALES
Title: CHIEF DHA PASS
Phone: (210) 536-6650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Military/U.S. Coast Guard Pharmacy	332000000X	Primary

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55th Medical Group Sgsl	Military/U.S. Coast Guard Pharmacy	Bellevue	AI Deep Dive
55th Medgrp-Offutt Part of 55th Medgrp-Offutt	Military/U.S. Coast Guard Pharmacy	Offutt Afb	AI Deep Dive

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