Organization · Type 2 NPI

359th MDG

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

NPI number 1306160973 Active

Practice location

630 3rd St W, Bldg 1068
Randolph Afb, TX 78150-4804

Fax (210) 652-3516

Mailing address

221 3rd St W, Bldg 1040
Randolph Afb, TX 78150-4800

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 1306160973

359th MDG's National Provider Identifier is 1306160973, issued on Mar 25, 2010. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Randolph Afb, TX. The record was last updated on Oct 24, 2016.