Organization · Type 2 NPI

366th Medical Group SGSL

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

NPI number 1811094667 Active

Practice location

90 Hope Dr, Bldg 6000
Mountain Home Afb, ID 83648-1057

Call (208) 828-7480 Map

Fax (208) 828-3785

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Pharmacy Primary 332000000XNone listed
Pharmacy 333600000XNone 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 1811094667

366th Medical Group SGSL's National Provider Identifier is 1811094667, issued on Sep 20, 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 Feb 8, 2016.