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628 Medical Group
Military/U.S. Coast Guard Pharmacy in Charleston Afb, South Carolina
NPI 1114332368

628 Medical Group is a Military/U.S. Coast Guard Pharmacy based in Charleston Afb, SC. 628 Medical Group practices in Charleston Afb, SC. The NPI Number for 628 Medical Group is 1114332368 and holds a License No. (South Carolina).

The current practice location address for 628 Medical Group is 204 W Hill Blvd Bldg 364, Charleston Afb, SC and can be reached out via phone at 843-963-6805 and via fax at 843-963-6727.

Location: 204 W Hill Blvd Bldg 364, Charleston Afb, SC, 29404-4704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114332368
Provider Name
628 Medical Group
Credential
Provider Entity Type
Organization
Address
204 W Hill Blvd Bldg 364, Charleston Afb, SC, 29404-4704
Phone Number
843-963-6805
Fax Number
843-963-6727
Provider Enumeration Date
06/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2146517 01 PK
institution
Provider Business Practice Location Address Details
Address
204 W Hill Blvd Bldg 364
City
Charleston Afb
State
South Carolina
Zip
29404-4704
Phone Number
843-963-6805
Fax Number
843-963-6727
person
Provider Business Mailing Address Details
Address
204 W Hill Blvd Bldg 364
City
Charleston Afb
State
South Carolina
Zip
29404-4704
Phone Number
843-963-6805
Fax Number
843-963-6727
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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