96th Medical Support Squadron Sgsl

NPI #1275632465 in Arnold Afb, Tennessee

Provider Information

NPI Number: 1275632465
Entity Type: Organization
Organization Name: 96th Medical Support Squadron Sgsl
Primary Specialty: Military/U.S. Coast Guard Pharmacy
Enumeration Date: Sep 22, 2006
Last Updated: Jun 2, 2015

Practice Location

Address: 225 FIRST ST BLDG 225
City: Arnold Afb
State: Tennessee
ZIP Code: 37389
Phone: (931) 454-5351

Authorized Official

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

Specialties & Taxonomy Codes

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

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DR. Patricia Suzanne Jackson, M.D.	Family Medicine	Arnold Afb	AI Deep Dive
MR. Robert Louchery, IDMT	Military Health Care Provider - Independent Duty Medical Technicians	Arnold Afb	AI Deep Dive
MS. Alexisa M Humphrey, IDMT	Military Health Care Provider - Independent Duty Medical Technicians	Arnold Afb	AI Deep Dive

Organizations

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Ach Blanchfield-Ft Campbell Part of Ach Blanchfield-Ft Campbell	Military/U.S. Coast Guard Pharmacy	Clarrksville	AI Deep Dive
Nhc Pensacola Part of Nhc Pensacola	Military/U.S. Coast Guard Pharmacy	Millington	AI Deep Dive

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