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17 Medical Group
Military/U.S. Coast Guard Pharmacy in Goodfellow Afb, Texas
NPI 1346654175

17 Medical Group is a Military/U.S. Coast Guard Pharmacy based in Goodfellow Afb, TX. 17 Medical Group practices in Goodfellow Afb, TX. The NPI Number for 17 Medical Group is 1346654175 and holds a License No. (Texas).

The current practice location address for 17 Medical Group is 271 Fort Richardson Ave, Goodfellow Afb, TX and can be reached out via phone at 325-654-3101 and via fax at 325-654-5898.

Location: 271 Fort Richardson Ave, Goodfellow Afb, TX, 76908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346654175
Provider Name
17 Medical Group
Credential
Provider Entity Type
Organization
Address
271 Fort Richardson Ave, Goodfellow Afb, TX, 76908
Phone Number
325-654-3101
Fax Number
325-654-5898
Provider Enumeration Date
06/19/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2146403 01 PK
institution
Provider Business Practice Location Address Details
Address
271 Fort Richardson Ave
City
Goodfellow Afb
State
Texas
Zip
76908-4901
Phone Number
325-654-3101
Fax Number
325-654-5898
person
Provider Business Mailing Address Details
Address
271 Fort Richardson Ave
City
Goodfellow Afb
State
Texas
Zip
76908-4901
Phone Number
325-654-3101
Fax Number
325-654-5898
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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