Mt Home Refill Phcy
NPI #1801959473 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1801959473
- Entity Type
- Organization
- Organization Name
- Mt Home Refill Phcy
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Aug 25, 2008
Practice Location
- Address
- 90 HOPE DR
- State
- Idaho
- ZIP Code
- 83648
- Phone
- (208) 828-7480
Authorized Official
- Name
- HECTOR MORALES
- Title
- PHARMACY OPERATIONS CENTER MGR
- Phone
- (210) 221-8443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military/U.S. Coast Guard Pharmacy |
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