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20th Medical Group Shaw
Military/U.S. Coast Guard Pharmacy in Shaw Afb, South Carolina
NPI 1336112440

20th Medical Group Shaw is a Military/U.S. Coast Guard Pharmacy based in Shaw Afb, SC. 20th Medical Group Shaw practices in Shaw Afb, SC. The NPI Number for 20th Medical Group Shaw is 1336112440 and holds a License No. (South Carolina).

The current practice location address for 20th Medical Group Shaw is 431 Meadowlark St, Shaw Afb, SC and can be reached out via phone at 803-895-6526 and via fax at 803-895-6419.

Location: 431 Meadowlark St, Shaw Afb, SC, 29152-5019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336112440
Provider Name
20th Medical Group Shaw
Credential
Provider Entity Type
Organization
Address
431 Meadowlark St, Shaw Afb, SC, 29152-5019
Phone Number
803-895-6526
Fax Number
803-895-6419
Provider Enumeration Date
02/09/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4222903 01 SC NCPDP
institution
Provider Business Practice Location Address Details
Address
431 Meadowlark St
City
Shaw Afb
State
South Carolina
Zip
29152-5019
Phone Number
803-895-6526
Fax Number
803-895-6419
person
Provider Business Mailing Address Details
Address
431 Meadowlark St
City
Shaw Afb
State
South Carolina
Zip
29152-5019
Phone Number
803-895-6526
Fax Number
803-895-6419
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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