97th Medical Group

NPI 1093782880 - Military/U.S. Coast Guard Pharmacy - 332000000X

NPI Details
NPI 1093782880
Enumeration Date 03/01/2006
Last Updated 11/15/2010
Entity Type Healthcare Provider
Active Over 13 years ago
Authorized Information
Name SERENA LYNN SERENA
Position AIR FORCE UNIFORM BUSINESS OFFICE
Phone (580) 481-5400
Fax (580) 481-5416
Practice Location
301 N 1ST ST
BLDG 46
ALTUS AFB OK, 73523-5004, US
Phone (580) 481-5400
Fax (580) 481-5416
Business Location
301 N 1ST ST
BLDG 46
ALTUS AFB OK, 73523-5004, US
Phone (580) 481-5400
Fax (580) 481-5416
Toxanomy
Taxonomy Code 332000000X
License State
License Number
Remove 1093782880 NPI Number
 

According to our database, 97th Medical Group NPI is 1093782880, taxonomy code is 332000000X 97th Medical Group physically located at 301 N 1st St, Altus Afb OK, 73523-5004. NPI Number 1033115704 has the healthcare provider type.

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1093782880 NPI number is provided on an as is basis without warranty of any kind. 1093782880 is maintained by the National Plan & Provider Enumeration System. The contents of 97th Medical Group are for informational purposes only.