366th Medical Group Sgsl
NPI #1811094667 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1811094667
- Entity Type
- Organization
- Organization Name
- 366th Medical Group Sgsl
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Feb 8, 2016
Practice Location
- Address
- 90 HOPE DR
- Address 2
- BLDG 6000
- State
- Idaho
- ZIP Code
- 83648-1057
- Phone
- (208) 828-7480
Authorized Official
- Name
- HECTOR MORALES
- Title
- CHIEF DHA PASS
- Phone
- (210) 536-6650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Military/U.S. Coast Guard Pharmacy |
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Individual Providers
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Organizations
| Provider Name | |
|---|---|
| 366th Medgrp-Mountain Home Part of 366th Medgrp-Mountain Home | AI Deep Dive |
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