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92nd Medical Group
Military/U.S. Coast Guard Pharmacy in Fairchild Afb, Washington
NPI 1477652519

92nd Medical Group is a Military/U.S. Coast Guard Pharmacy based in Fairchild Afb, WA. 92nd Medical Group practices in Fairchild Afb, WA. The NPI Number for 92nd Medical Group is 1477652519 and holds a License No. 910569870 (Washington).

The current practice location address for 92nd Medical Group is 701 Hospital Loop # 135, Fairchild Afb, WA and can be reached out via phone at 509-247-5567.

Location: 701 Hospital Loop # 135, Fairchild Afb, WA, 99011-8704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477652519
Provider Name
92nd Medical Group
Credential
Provider Entity Type
Organization
Address
701 Hospital Loop # 135, Fairchild Afb, WA, 99011-8704
Phone Number
509-247-5567
Fax Number
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2110194 01 PK
institution
Provider Business Practice Location Address Details
Address
701 Hospital Loop # 135
City
Fairchild Afb
State
Washington
Zip
99011-8704
Phone Number
509-247-5567
Fax Number
person
Provider Business Mailing Address Details
Address
701 Hospital Loop # 135
City
Fairchild Afb
State
Washington
Zip
99011-8704
Phone Number
509-247-5567
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Military/U.S. Coast Guard Pharmacy
Speciality
-
Taxonomy
332000000X
License No.
910569870 (Washington)
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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