Organization · Type 2 NPI
20th Medgrp-Shaw
Military/U.S. Coast Guard Pharmacy · Shaw Afb, SC
Practice location
431 Meadowlark St
Shaw Afb, SC 29152-5019
Fax (803) 895-6463
Mailing address
20th Medical Support Squadron US Air Force Hospital, 431 Meadowlark St
Shaw Afb, SC 29152
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.
28 other providers at this address
- 20th Medgrp-ShawMilitary/U.S. Coast Guard Outpatient Clinic/Center Shaw Afb, SC NPI 1336112440
- Alexander William Ortiz, DOMilitary Health Care Provider Shaw Afb, SC NPI 1356928014
- Collins O. Odukogbe, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Shaw A F B, SC NPI 1295015584
- Dana McLeod, PHARM DPharmacist Shaw A F B, SC NPI 1124398912
- Daniel Anthony Blaz, FNP-BCFamily Nurse Practitioner Shaw Afb, SC NPI 1881786879
- Darrell Mayers, IDMTIndependent Duty Medical Technicians Shaw A F B, SC NPI 1407081409
- Dennis Preston Hooten Ii, IDMTIndependent Duty Medical Technicians Shaw A F B, SC NPI 1205061306
- Elaine M. Alexa, CSWClinical Social Worker Shaw A F B, SC NPI 1316916935
- Eric Black, IDMTIndependent Duty Medical Technicians Shaw Afb, SC NPI 1558025429
- Gilbert Narro, ODOptometrist Shaw A F B, SC NPI 1629063706
- Jaclyn C. Hoffman, DNP, FNPFamily Nurse Practitioner Shaw Afb, SC NPI 1427667765
- James John Labarre, R.PH, PharmDPharmacist Shaw A F B, SC NPI 1598753485
About NPI 1881009033
20th Medgrp-Shaw's National Provider Identifier is 1881009033, issued on Jun 26, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Shaw Afb, SC. The record was last updated on May 30, 2025.