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375th Medical Group
Pharmacy in Scott Afb, Illinois
NPI 1073675955

375th Medical Group is a Pharmacy based in Scott Afb, IL. 375th Medical Group practices in Scott Afb, IL. The NPI Number for 375th Medical Group is 1073675955 and holds a License No. (Illinois).

The current practice location address for 375th Medical Group is 310 W Losey St, Scott Afb, IL and can be reached out via phone at 618-256-7345 and via fax at 618-256-7131.

Location: 310 W Losey St, Scott Afb, IL, 62225-5250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073675955
Provider Name
375th Medical Group
Credential
Provider Entity Type
Organization
Address
310 W Losey St, Scott Afb, IL, 62225-5250
Phone Number
618-256-7345
Fax Number
618-256-7131
Provider Enumeration Date
12/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2024967 01 PK
institution
Provider Business Practice Location Address Details
Address
310 W Losey St
City
Scott Afb
State
Illinois
Zip
62225-5250
Phone Number
618-256-7345
Fax Number
618-256-7131
person
Provider Business Mailing Address Details
Address
310 W Losey St
City
Scott Afb
State
Illinois
Zip
62225-5250
Phone Number
618-256-7345
Fax Number
618-256-7131
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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