Organization · Type 2 NPI
628th Medgrp-Charleston
Military/U.S. Coast Guard Pharmacy · Charleston Afb, SC
Practice location
204 W Hill Blvd Bldg 364
Charleston Afb, SC 29404-4704
Fax (843) 963-6727
Mailing address
628 Medical Group C/o Rmo Office, 204 W. Hill Blvd. Bldg 364
Charleston Afb, SC 29404-4704
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.
About NPI 1114332368
628th Medgrp-Charleston's National Provider Identifier is 1114332368, issued on Jun 26, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Charleston Afb, SC. The record was last updated on May 30, 2025.