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509th Medical Group-sgsr
Military/U.S. Coast Guard Pharmacy in Whiteman Afb, Missouri
NPI 1033196480

509th Medical Group-sgsr is a Military/U.S. Coast Guard Pharmacy based in Whiteman Afb, MO. 509th Medical Group-sgsr practices in Whiteman Afb, MO. The NPI Number for 509th Medical Group-sgsr is 1033196480 and holds a License No. (Missouri).

The current practice location address for 509th Medical Group-sgsr is 331 Sijan Ave, Whiteman Afb, MO and can be reached out via phone at 660-687-1838 and via fax at 660-687-5121.

Location: 331 Sijan Ave, Whiteman Afb, MO, 65305-1269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033196480
Provider Name
509th Medical Group-sgsr
Credential
Provider Entity Type
Organization
Address
331 Sijan Ave, Whiteman Afb, MO, 65305-1269
Phone Number
660-687-1838
Fax Number
660-687-5121
Provider Enumeration Date
12/28/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2632897 01 MO NCPDP
institution
Provider Business Practice Location Address Details
Address
331 Sijan Ave
City
Whiteman Afb
State
Missouri
Zip
65305-1269
Phone Number
660-687-1838
Fax Number
660-687-5121
person
Provider Business Mailing Address Details
Address
331 Sijan Ave
City
Whiteman Afb
State
Missouri
Zip
65305-1269
Phone Number
660-687-1838
Fax Number
660-687-5121
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
261QM1100X
License No.
()
Definition
The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military and U.S. Coast Guard Ambulatory Procedure
Taxonomy
261QM1101X
License No.
()
Definition
That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Military/U.S. Coast Guard Pharmacy
Speciality
-
Taxonomy
332000000X
License No.
()
Definition
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
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