Organization · Type 2 NPI

Willford Hall Medical CTR

Military/U.S. Coast Guard Pharmacy · Lackland Afb, TX

NPI number 1114026358 Active

Practice location

2275 Reese St, Bldg 8410
Lackland Afb, TX 78236-1245

Call (210) 292-2217 Map

Fax (210) 292-3722

Mailing address

2200 Bergquist Dr Ste 1, Bldg 8410
Lackland Afb, TX 78236-9908

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Pharmacy Primary 332000000XNone 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.

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About NPI 1114026358

Willford Hall Medical CTR's National Provider Identifier is 1114026358, issued on Sep 22, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Lackland Afb, TX. The record was last updated on Jul 19, 2018.