20th Medical Group Shaw

NPI 1336112440 - Military/U.S. Coast Guard Pharmacy - 332000000X

NPI Details
NPI 1336112440
Enumeration Date 02/09/2006
Last Updated 03/28/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THERESA MARIE THERESA
Position AF UBO ANALYST
Phone (803) 895-6526
Fax (803) 895-6419
Practice Location
431 MEADOWLARK ST
SHAW AFB SC, 29152-5019, US
Phone (803) 895-6526
Fax (803) 895-6419
Business Location
431 MEADOWLARK ST
SHAW AFB SC, 29152-5019, US
Phone (803) 895-6526
Fax (803) 895-6419
Toxanomy
Taxonomy Code 332000000X
License State
License Number
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According to our database, 20th Medical Group Shaw NPI is 1336112440, taxonomy code is 332000000X 20th Medical Group Shaw physically located at 431 Meadowlark St, Shaw Afb SC, 29152-5019. NPI Number 1033115704 has the healthcare provider type.

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1336112440 NPI number is provided on an as is basis without warranty of any kind. 1336112440 is maintained by the National Plan & Provider Enumeration System. The contents of 20th Medical Group Shaw are for informational purposes only.