366th Medgrp-Mountain Home
366th Medgrp-Mountain Home is a Military/U.S. Coast Guard Pharmacy in Mountain Home AFB, Idaho. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
90 Hope Dr Bldg 6000Mountain Home AFB, ID 83648-1062
Phone: (208) 828-7521
Fax: (208) 828-7676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military/U.S. Coast Guard Pharmacy (primary) | Taxonomy 332000000X |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1144636515 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 366th Medgrp-Mountain Home |
| Authorized official | Hector Morales — Chief Dha Pass · (210) 536-6650 |
| Other names | Dod Mt Home Ephcy |
| NPI enumerated | July 7, 2014 |
| Last updated in NPPES | June 13, 2025 |
| Certification date | June 13, 2025 |
| Mailing address | 366 Medical Group Sgsbf, 90 Hope Dr. Bldg. 6000, Mtn Home Afb, ID 83648-1062 |
Other providers in Mountain Home AFB
-
366th Medical Group Sgsl
90 Hope Dr Bldg 6000, Mountain Home AFB, ID 83648-1057 · (208) 828-7480
-
Mt Home Refill Phcy
90 Hope Dr, Mountain Home AFB, ID 83648 · (208) 828-7480