Organization · Type 2 NPI

MT Home Refill Phcy

Military/U.S. Coast Guard Pharmacy · Mountain Home Afb, ID

NPI number 1801959473 Active

Practice location

90 Hope Dr
Mountain Home Afb, ID 83648

Fax (208) 828-3785

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 1801959473

MT Home Refill Phcy's National Provider Identifier is 1801959473, issued on Dec 18, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Mountain Home Afb, ID. The record was last updated on Aug 25, 2008.