Organization · Type 2 NPI

59th Mdw-Whasc-Lackland

Military/U.S. Coast Guard Pharmacy · Randolph Afb, TX

NPI number 1861800567 Active

Practice location

221 3rd St W Bldg 1040
Randolph Afb, TX 78150-4800

Fax (210) 652-3516

Mailing address

359 Medical Group C/o 359 Mdss Resource Management Offi, 221 3rd St. W
Randolph Afb, TX 78150

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.

55 other providers at this address

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About NPI 1861800567

59th Mdw-Whasc-Lackland's National Provider Identifier is 1861800567, issued on Jul 25, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Randolph Afb, TX. The record was last updated on Jul 28, 2025.