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436th Medical Grp
Military/U.S. Coast Guard Pharmacy in Dover Afb, Delaware
NPI 1437112646

436th Medical Grp is a Military/U.S. Coast Guard Pharmacy based in Dover Afb, DE. 436th Medical Grp practices in Dover Afb, DE. The NPI Number for 436th Medical Grp is 1437112646 and holds a License No. (Delaware).

The current practice location address for 436th Medical Grp is 300 Tuskegee Blvd, Dover Afb, DE and can be reached out via phone at 302-677-2649 and via fax at 302-677-2051. You can also correspond with 436th Medical Grp through the mailing address at 300 TUSKEGEE BLVD, DOVER AFB, DE - 19902-5003 (mailing address contact number: 302-677-2649).

Location: 300 Tuskegee Blvd, Dover Afb, DE, 19902-5003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437112646
Provider Name
436th Medical Grp
Credential
Provider Entity Type
Organization
Address
300 Tuskegee Blvd, Dover Afb, DE, 19902-5003
Phone Number
302-677-2649
Fax Number
302-677-2051
Provider Enumeration Date
04/10/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08-03735 01 DE NCPDP
institution
Provider Business Practice Location Address Details
Address
300 Tuskegee Blvd
City
Dover Afb
State
Delaware
Zip
19902-5003
Phone Number
302-677-2649
Fax Number
302-677-2051
person
Provider Business Mailing Address Details
Address
300 Tuskegee Blvd
City
Dover Afb
State
Delaware
Zip
19902-5003
Phone Number
302-677-2649
Fax Number
302-677-2051
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.
(Delaware)
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.
(Delaware)
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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