375th Medical Group

NPI 1073675955 - Military/U.S. Coast Guard Pharmacy - 332000000X

NPI Details
NPI 1073675955
Enumeration Date 12/15/2006
Last Updated 02/08/2016
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name HECTOR HECTOR
Position CHIEF DHA PASS
Phone (618) 256-7345
Fax (618) 256-7131
Practice Location
310 W LOSEY ST
BLDG 1530
SCOTT AFB IL, 62225-5250, US
Phone (618) 256-7345
Fax (618) 256-7131
Business Location
310 W LOSEY ST
BLDG 1530
SCOTT AFB IL, 62225-5250, US
Phone (618) 256-7345
Fax (618) 256-7131
Toxanomy
Taxonomy Code 332000000X
License State
License Number
Remove 1073675955 NPI Number
 

According to our database, 375th Medical Group NPI is 1073675955, taxonomy code is 332000000X 375th Medical Group physically located at 310 W Losey St, Scott Afb IL, 62225-5250. NPI Number 1033115704 has the healthcare provider type.

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1073675955 NPI number is provided on an as is basis without warranty of any kind. 1073675955 is maintained by the National Plan & Provider Enumeration System. The contents of 375th Medical Group are for informational purposes only.