institution
316th Medical Group - Malcolm Grow Medical Center
Military/U.S. Coast Guard Pharmacy in Bolling Afb, District of Columbia
NPI 1376642090

316th Medical Group - Malcolm Grow Medical Center is a Military/U.S. Coast Guard Pharmacy based in Jb Andrews, DC. 316th Medical Group - Malcolm Grow Medical Center practices in Bolling Afb, DC. The NPI Number for 316th Medical Group - Malcolm Grow Medical Center is 1376642090 and holds a License No. (District of Columbia).

The current practice location address for 316th Medical Group - Malcolm Grow Medical Center is 238 Brookley Ave Sw, Bolling Afb, DC and can be reached out via phone at 202-404-7742 and via fax at 703-614-1663.

Location: 238 Brookley Ave Sw, Bolling Afb, DC, 20762-6602
institution
Provider Profile Details
NPI Number
1376642090
Provider Name
316th Medical Group - Malcolm Grow Medical Center
Credential
Provider Entity Type
Organization
Address
238 Brookley Ave Sw, Bolling Afb, DC, 20762-6602
Phone Number
202-404-7742
Fax Number
703-614-1663
Provider Enumeration Date
09/21/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2005908 01 PK
institution
Provider Business Practice Location Address Details
Address
238 Brookley Ave Sw
City
State
Zip
20032-7704
Phone Number
202-404-7742
Fax Number
703-614-1663
person
Provider Business Mailing Address Details
Address
238 Brookley Ave Sw
City
State
Zip
20032-7704
Phone Number
202-404-7742
Fax Number
703-614-1663
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Military/U.S. Coast Guard Pharmacy
Speciality
-
Taxonomy
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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