30th Medical Group

NPI 1043626419 - Military/U.S. Coast Guard Pharmacy - 332000000X

NPI Details
NPI 1043626419
Enumeration Date 07/07/2014
Last Updated 01/22/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name HECTOR HECTOR
Position CHIEF DHA PASS
Phone (805) 606-7440
Fax (805) 605-8380
Practice Location
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB CA, 93437-6307, US
Phone (805) 606-7440
Fax (805) 605-8380
Business Location
30TH MEDICAL GROUP
338 S. DAKOTA ST. STE 131-56
VANDENBERG AFB CA, 93437-6307, US
Phone (805) 606-7440
Fax (805) 605-8380
Toxanomy
Taxonomy Code 332000000X
License State
License Number
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According to our database, 30th Medical Group NPI is 1043626419, taxonomy code is 332000000X 30th Medical Group physically located at 338 S Dakota Ave Bldg 13850, Vandenberg Afb CA, 93437-6307. NPI Number 1033115704 has the healthcare provider type.

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1043626419 NPI number is provided on an as is basis without warranty of any kind. 1043626419 is maintained by the National Plan & Provider Enumeration System. The contents of 30th Medical Group are for informational purposes only.