45th Medical Group Sgsl

NPI 1063511707 - Military/U.S. Coast Guard Pharmacy - 332000000X

NPI Details
NPI 1063511707
Enumeration Date 09/21/2006
Last Updated 11/06/2013
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name HECTOR HECTOR
Position DEPUTY DIRECTOR PHCY OPS CTR
Phone (321) 494-8991
Fax (321) 494-7996
Practice Location
1381 S PATRICK DR
PATRICK AFB FL, 32925-3606, US
Phone (321) 494-8991
Fax (321) 494-7996
Business Location
1381 S PATRICK DR
PATRICK AFB FL, 32925-3606, US
Phone (321) 494-8991
Fax (321) 494-7996
Toxanomy
Taxonomy Code 332000000X
License State
License Number
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According to our database, 45th Medical Group Sgsl NPI is 1063511707, taxonomy code is 332000000X 45th Medical Group Sgsl physically located at 1381 S Patrick Dr, Patrick Afb FL, 32925-3606. NPI Number 1033115704 has the healthcare provider type.

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1063511707 NPI number is provided on an as is basis without warranty of any kind. 1063511707 is maintained by the National Plan & Provider Enumeration System. The contents of 45th Medical Group Sgsl are for informational purposes only.