366th Medical Group Sgsl
366th Medical Group Sgsl is a Military/U.S. Coast Guard Pharmacy in Mountain Home AFB, Idaho. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
90 Hope Dr Bldg 6000Mountain Home AFB, ID 83648-1057
Phone: (208) 828-7480
Fax: (208) 828-3785
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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 | 1811094667 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hector Morales — Chief Dha Pass · (210) 536-6650 |
| Other names | Mt Home Op Phcy |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | February 8, 2016 |
| Mailing address | 90 Hope Dr, Bldg 6000, Mountain Home Afb, ID 83648-1057 |
Other providers in Mountain Home AFB
-
366th Medgrp-Mountain Home
90 Hope Dr Bldg 6000, Mountain Home AFB, ID 83648-1062 · (208) 828-7521
-
Mt Home Refill Phcy
90 Hope Dr, Mountain Home AFB, ID 83648 · (208) 828-7480