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Malcolm Grow Medical Center
Military/U.S. Coast Guard Pharmacy in Andrews Afb, Maryland
NPI 1215994660

Malcolm Grow Medical Center is a Military/U.S. Coast Guard Pharmacy based in Andrews Afb, MD. Malcolm Grow Medical Center practices in Andrews Afb, MD. The NPI Number for Malcolm Grow Medical Center is 1215994660 and holds a License No. (Maryland).

The current practice location address for Malcolm Grow Medical Center is 1050 W Perimeter Rd, Andrews Afb, MD and can be reached out via phone at 240-857-8658 and via fax at 240-857-7700. You can also correspond with Malcolm Grow Medical Center through the mailing address at 1050 W PERIMETER RD, ANDREWS AFB, MD - 20762-6600 (mailing address contact number: 240-857-8658).

Location: 1050 W Perimeter Rd, Andrews Afb, MD, 20762-6600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215994660
Provider Name
Malcolm Grow Medical Center
Credential
Provider Entity Type
Organization
Address
1050 W Perimeter Rd, Andrews Afb, MD, 20762-6600
Phone Number
240-857-8658
Fax Number
240-857-7700
Provider Enumeration Date
04/28/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21-25373 01 MD NCPDP
institution
Provider Business Practice Location Address Details
Address
1050 W Perimeter Rd
City
Andrews Afb
State
Maryland
Zip
20762-6600
Phone Number
240-857-8658
Fax Number
240-857-7700
person
Provider Business Mailing Address Details
Address
1050 W Perimeter Rd
City
Andrews Afb
State
Maryland
Zip
20762-6600
Phone Number
240-857-8658
Fax Number
240-857-7700
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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