Organization · Type 2 NPI
96th Medgrp-Eglin
Military/U.S. Coast Guard Pharmacy · Eglin Afb, FL
Practice location
4315 El Salvador Way, Building 4315
Eglin Afb, FL 32542-1711
Fax (850) 885-9977
Mailing address
307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302
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.
5 other providers at this address
- John Christen Bunyasaranand, DOEmergency Medicine Physician Eglin Afb, FL NPI 1780105817
- Mary Cason ParhamDental Hygienist Eglin Afb, FL NPI 1457040867
- Ngoc Kelsch, DENTAL HYGIENISTDental Hygienist Eglin Afb, FL NPI 1558719948
- Ryan Bradley, PA-C, CAQ-PSYMedical Physician Assistant Eglin, FL NPI 1235862012
- Stephanie A. Wallgren, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Eglin Afb, FL NPI 1578859989
Other military/u.s. coast guard pharmacy providers in Eglin Afb
About NPI 1083012223
96th Medgrp-Eglin's National Provider Identifier is 1083012223, issued on Dec 19, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Eglin Afb, FL. The record was last updated on Jun 11, 2025.