institution
Kimbrough Acc Military Mtf
Military/U.S. Coast Guard Pharmacy in Fort Meade, Maryland
NPI 1164507703

Kimbrough Acc Military Mtf is a Military/U.S. Coast Guard Pharmacy based in Fort Meade, MD. Kimbrough Acc Military Mtf practices in Fort Meade, MD. The NPI Number for Kimbrough Acc Military Mtf is 1164507703 and holds a License No. (Maryland).

The current practice location address for Kimbrough Acc Military Mtf is 2480 Llewellyn Ave, Fort Meade, MD and can be reached out via phone at 301-677-8800.

Location: 2480 Llewellyn Ave, Fort Meade, MD, 20755-7081
institution
Provider Profile Details
NPI Number
1164507703
Provider Name
Kimbrough Acc Military Mtf
Credential
Provider Entity Type
Organization
Address
2480 Llewellyn Ave, Fort Meade, MD, 20755-7081
Phone Number
301-677-8800
Fax Number
Provider Enumeration Date
10/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02DT 01 BCBS FEDERAL
AN2598588 01 MEDCO
1447357298 / 2125284 01 PHARMACY NPI/NCPDP
institution
Provider Business Practice Location Address Details
Address
2480 Llewellyn Ave
City
State
Zip
20755-5800
Phone Number
301-677-8800
Fax Number
person
Provider Business Mailing Address Details
Address
2480 Llewellyn Ave
City
State
Zip
20755-5800
Phone Number
301-677-8800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
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
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
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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