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Kelly Op Phcy
Military/U.S. Coast Guard Pharmacy in Kelly Afb, Texas
NPI 1386743524

Kelly Op Phcy is a Military/U.S. Coast Guard Pharmacy based in Kelly Afb, TX. Kelly Op Phcy practices in Kelly Afb, TX. The NPI Number for Kelly Op Phcy is 1386743524 and holds a License No. (Texas).

The current practice location address for Kelly Op Phcy is 204 Wagner Dr, Kelly Afb, TX and can be reached out via phone at 210-925-8304 and via fax at 210-292-1962.

Location: 204 Wagner Dr, Kelly Afb, TX, 78241-5846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386743524
Provider Name
Kelly Op Phcy
Credential
Provider Entity Type
Organization
Address
204 Wagner Dr, Kelly Afb, TX, 78241-5846
Phone Number
210-925-8304
Fax Number
210-292-1962
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4511944 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
204 Wagner Dr
City
Kelly Afb
State
Texas
Zip
78241-5846
Phone Number
210-925-8304
Fax Number
210-292-1962
person
Provider Business Mailing Address Details
Address
204 Wagner Dr
City
Kelly Afb
State
Texas
Zip
78241-5846
Phone Number
210-925-8304
Fax Number
210-292-1962
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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