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359th Mdg
Military/U.S. Coast Guard Pharmacy in Randolph Afb, Texas
NPI 1306160973

359th Mdg is a Military/U.S. Coast Guard Pharmacy based in Randolph Afb, TX. 359th Mdg practices in Randolph Afb, TX. The NPI Number for 359th Mdg is 1306160973 and holds a License No. (Texas).

The current practice location address for 359th Mdg is 630 3Rd St W, Randolph Afb, TX and can be reached out via phone at 210-652-6742 and via fax at 210-652-3516.

Location: 630 3Rd St W, Randolph Afb, TX, 78150-4800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306160973
Provider Name
359th Mdg
Credential
Provider Entity Type
Organization
Address
630 3Rd St W, Randolph Afb, TX, 78150-4800
Phone Number
210-652-6742
Fax Number
210-652-3516
Provider Enumeration Date
03/25/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2124452 01 PK
institution
Provider Business Practice Location Address Details
Address
630 3Rd St W
City
Randolph Afb
State
Texas
Zip
78150-4804
Phone Number
210-652-6742
Fax Number
210-652-3516
person
Provider Business Mailing Address Details
Address
630 3Rd St W
City
Randolph Afb
State
Texas
Zip
78150-4804
Phone Number
210-652-6742
Fax Number
210-652-3516
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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