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61st Medical Squadron Sgsr
Military/U.S. Coast Guard Pharmacy in El Segundo, California
NPI 1073612024

61st Medical Squadron Sgsr is a Military/U.S. Coast Guard Pharmacy based in El Segundo, CA. 61st Medical Squadron Sgsr practices in El Segundo, CA. The NPI Number for 61st Medical Squadron Sgsr is 1073612024 and holds a License No. (California).

The current practice location address for 61st Medical Squadron Sgsr is 483 N Aviation Blvd Bldg 210, El Segundo, CA and can be reached out via phone at 310-653-2378 and via fax at 310-363-1977.

Location: 483 N Aviation Blvd Bldg 210, El Segundo, CA, 90245-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073612024
Provider Name
61st Medical Squadron Sgsr
Credential
Provider Entity Type
Organization
Address
483 N Aviation Blvd Bldg 210, El Segundo, CA, 90245-2808
Phone Number
310-653-2378
Fax Number
310-363-1977
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2066006 01 PK
institution
Provider Business Practice Location Address Details
Address
483 N Aviation Blvd Bldg 210
City
El Segundo
State
California
Zip
90245-2808
Phone Number
310-653-2378
Fax Number
310-363-1977
person
Provider Business Mailing Address Details
Address
483 N Aviation Blvd Bldg 210
City
El Segundo
State
California
Zip
90245-2808
Phone Number
310-653-2378
Fax Number
310-363-1977
person
Provider's Taxonomy Details 1
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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