316th Medgrp-Malcolm Grow
NPI #1861804551 in Bolling Afb, District of Columbia
Provider Information
- NPI Number
- 1861804551
- Entity Type
- Organization
- Organization Name
- 316th Medgrp-Malcolm Grow
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 316TH MEDGRP-MALCOLM GROW
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- May 29, 2014
- Last Updated
- Mar 12, 2025
Practice Location
- Address
- 238 BROOKLEY AVE SW
- Address 2
- 579TH MEDICAL GROUP
- City
- Bolling Afb
- State
- District of Columbia
- ZIP Code
- 20032-7704
- Phone
- (202) 404-7742
Authorized Official
- Name
- WILLIAM MICHAEL CONDON
- Title
- DHA FINANCIAL MANAGER
- Phone
- (240) 401-3643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military/U.S. Coast Guard Pharmacy |
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