359th Mdg

NPI 1306160973 - Military/U.S. Coast Guard Pharmacy - 332000000X

NPI Details
NPI 1306160973
Enumeration Date 03/25/2010
Last Updated 03/25/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name HECTOR HECTOR
Position DEPUTY DIRECTOR OF PHARMACY OPS
Phone (210) 652-6742
Fax (210) 652-3516
Practice Location
630 3RD ST W
BUILDING 1068
RANDOLPH AFB TX, 78150-4804, US
Phone (210) 652-6742
Fax (210) 652-3516
Business Location
2450 STANLEY RD STE 280
FORT SAM HOUSTON TX, 78234-7510, US
Phone (210) 221-8443
Fax
Toxanomy
Taxonomy Code 332000000X
License State
License Number
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According to our database, 359th Mdg NPI is 1306160973, taxonomy code is 332000000X 359th Mdg physically located at 630 3rd St W, Randolph Afb TX, 78150-4804. NPI Number 1033115704 has the healthcare provider type.

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1306160973 NPI number is provided on an as is basis without warranty of any kind. 1306160973 is maintained by the National Plan & Provider Enumeration System. The contents of 359th Mdg are for informational purposes only.