Organization · Type 2 NPI
30th Medgrp-Vandenberg
Military/U.S. Coast Guard Pharmacy · Vandenberg Afb, CA
Practice location
338 S Dakota Ave Bldg 13850
Vandenberg Afb, CA 93437-6307
Fax (805) 605-8380
Mailing address
30th Medical Group, 338 S. Dakota St. Ste 131-56
Vandenberg Afb, CA 93437-6307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Pharmacy Primary | 332000000X | None listed |
Military/U.S. Coast Guard Pharmacy: A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
10 other providers at this address
- Vandenberg Air Force 30th Medical GroupRegistered Dietitian Lompoc, CA NPI 1598315392
- Andrea Taylor, DPTPhysical Therapist Vandenberg Afb, CA NPI 1750934709
- Benjamin Graham Bacon, DDSGeneral Practice Dentistry Vandenberg Afb, CA NPI 1710476924
- Brigette Jo LugoDental Hygienist Vandenberg Afb, CA NPI 1801634076
- Hannah Jane HultinePhysical Therapist Lompoc, CA NPI 1790132181
- Jennifer Ta, CPNPPediatric Nurse Practitioner Lompoc, CA NPI 1790035046
- Jordan Lynn Sullivan, RNRegistered Nurse Vandenberg Afb, CA NPI 1073318499
- Kiele Teresa Mohre, DOPediatrics Physician Lompoc, CA NPI 1043902745
- Mary Rita Mu-Tagaloa Walker, REGISTERED DIETITIANRegistered Dietitian Lompoc, CA NPI 1720506512
- Peter David Scott, MDFamily Medicine Physician Vandenberg Afb, CA NPI 1831575018
About NPI 1043626419
30th Medgrp-Vandenberg's National Provider Identifier is 1043626419, issued on Jul 7, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Vandenberg Afb, CA. The record was last updated on Jun 13, 2025.