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509th Medical Group -sgsr
Military/U.S. Coast Guard Pharmacy in Whiteman Afb, Missouri
NPI 1225444334

509th Medical Group -sgsr is a Military/U.S. Coast Guard Pharmacy based in Whiteman Afb, MO. 509th Medical Group -sgsr practices in Whiteman Afb, MO. The NPI Number for 509th Medical Group -sgsr is 1225444334 and holds a License No. (Missouri).

The current practice location address for 509th Medical Group -sgsr is 331 Sijen Ave, Whiteman Afb, MO and can be reached out via phone at 660-687-1774 and via fax at 660-687-1878.

Location: 331 Sijen Ave, Whiteman Afb, MO, 65305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225444334
Provider Name
509th Medical Group -sgsr
Credential
Provider Entity Type
Organization
Address
331 Sijen Ave, Whiteman Afb, MO, 65305
Phone Number
660-687-1774
Fax Number
660-687-1878
Provider Enumeration Date
07/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2146751 01 PK
institution
Provider Business Practice Location Address Details
Address
331 Sijen Ave
City
Whiteman Afb
State
Missouri
Zip
65305-1269
Phone Number
660-687-1774
Fax Number
660-687-1878
person
Provider Business Mailing Address Details
Address
331 Sijen Ave
City
Whiteman Afb
State
Missouri
Zip
65305-1269
Phone Number
660-687-1774
Fax Number
660-687-1878
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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institution
509th Medical Group Sgsl
NPI 1518066943
Military/U.S. Coast Guard Pharmacy
331 Sijen Ave,
WHITEMAN AFB, MO
65305-1269
660-687-2137
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