96th Medical Support Squadron

NPI 1083012223 - Military/U.S. Coast Guard Pharmacy - 332000000X

NPI Details
NPI 1083012223
Enumeration Date 12/19/2014
Last Updated 12/31/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name HECTOR HECTOR
Position CHIEF DHA PASS
Phone (850) 885-7554
Fax (850) 885-9977
Practice Location
4315 EL SALVADOR WAY
BUILDING 4315
EGLIN AFB FL, 32542-1711, US
Phone (850) 885-7554
Fax (850) 885-9977
Business Location
307 BOATNER RD STE 114
EGLIN AFB FL, 32542-1302, US
Phone (850) 885-7554
Fax (850) 885-9977
Toxanomy
Taxonomy Code 332000000X
License State
License Number
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According to our database, 96th Medical Support Squadron NPI is 1083012223, taxonomy code is 332000000X 96th Medical Support Squadron physically located at 4315 El Salvador Way, Eglin Afb FL, 32542-1711. NPI Number 1033115704 has the healthcare provider type.

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1083012223 NPI number is provided on an as is basis without warranty of any kind. 1083012223 is maintained by the National Plan & Provider Enumeration System. The contents of 96th Medical Support Squadron are for informational purposes only.