Organization · Type 2 NPI

377th Medgrp-Kirtland

Military/U.S. Coast Guard Pharmacy · Albuquerque, NM

NPI number 1740694553 Active

Practice location

1501 San Pedro Dr SE Bldg 47
Albuquerque, NM 87108-5153

Fax (505) 846-3137

Mailing address

377 Th Medical Group, 2050A Second St. SE
Kirtland Afb, NM 87117-0001

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.

8 other providers at this address

About NPI 1740694553

377th Medgrp-Kirtland's National Provider Identifier is 1740694553, issued on Jun 19, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 13, 2025.