377th Medical Group

NPI 1073610820 - Military/U.S. Coast Guard Pharmacy - 332000000X

NPI Details
NPI 1073610820
Enumeration Date 09/20/2006
Last Updated 06/22/2015
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name HECTOR HECTOR
Position CHIEF DHA PASS
Phone (505) 846-3130
Fax
Practice Location
2050A 2ND ST SE
KIRTLAND AFB NM, 87117-5524, US
Phone (505) 846-3130
Fax
Business Location
377 TH MEDICAL GROUP
3RD PARTY COLLECTIONS 205A SECOND ST SE
KIRTLAND AFB NM, 87117-0001, US
Phone (505) 846-3130
Fax
Toxanomy
Taxonomy Code 332000000X
License State
License Number
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According to our database, 377th Medical Group NPI is 1073610820, taxonomy code is 332000000X 377th Medical Group physically located at 2050a 2nd St Se, Kirtland Afb NM, 87117-5524. NPI Number 1033115704 has the healthcare provider type.

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1073610820 NPI number is provided on an as is basis without warranty of any kind. 1073610820 is maintained by the National Plan & Provider Enumeration System. The contents of 377th Medical Group are for informational purposes only.