Organization · Type 2 NPI
375th Medgrp-Scott
Military/U.S. Coast Guard Pharmacy · Scott Afb, IL
Practice location
310 W Losey St
Scott Afb, IL 62225-5250
Fax (618) 256-7133
Mailing address
375th Medical Group Scott Afb, 310 W. Losey St.
Scott Afb, IL 62225-5250
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.
148 other providers at this address
- 375th Medgrp-ScottMilitary/U.S. Coast Guard Outpatient Clinic/Center Scott Afb, IL NPI 1851373161
- 375th Medgrp-ScottMilitary Hospital Scott Afb, IL NPI 1861478448
- Dfas-Jfll/inMilitary General Acute Care Hospital Scott Afb, IL NPI 1679842306
- St. Louis JC VamcVA Clinic/Center Scott Air Force Base, IL NPI 1093192908
- United States Air ForceMilitary Hospital Scott Afb, IL NPI 1114287059
- Abby McElroy, WHNPWomen's Health Nurse Practitioner Scott Air Force Base, IL NPI 1962197376
- Adam Kirk Derrickson, MDInternal Medicine Physician Scott Afb, IL NPI 1265525414
- Addison F. Jacobs, MDDiagnostic Radiology Physician Scott Air Force Base, IL NPI 1679109482
- Ainsley McCullough, MDObstetrics & Gynecology Physician Scott Afb, IL NPI 1225568629
- Alfred J. Ozanian, PhDClinical Social Worker Scott Afb, IL NPI 1871588459
- Alyssa Rose HallFamily Nurse Practitioner Scott Afb, IL NPI 1477138261
- Amanda Jayne Pinkham, LCSWClinical Social Worker Scott Afb, IL NPI 1609012434
About NPI 1790190940
375th Medgrp-Scott's National Provider Identifier is 1790190940, issued on Jun 26, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Scott Afb, IL. The record was last updated on May 29, 2025.