Organization · Type 2 NPI
27th Special Ops Medgrp-Cannon
Military/U.S. Coast Guard Pharmacy · Cannon Afb, NM
Practice location
224 West D. L. Ingram Blvd, Bldg 1408
Cannon Afb, NM 88103-5103
Fax (575) 784-7494
Mailing address
27th Medical Group Sgsl, 208 W. D.l. Ingram Blvd. 1st Floor
Cannon Afb, NM 88103
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.
2 other providers at this address
About NPI 1417356072
27th Special Ops Medgrp-Cannon's National Provider Identifier is 1417356072, issued on Aug 20, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Cannon Afb, NM. The record was last updated on Sep 2, 2025.