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66 Mdss-sgsr
Military/U.S. Coast Guard Pharmacy in Hanscom Afb, Massachusetts
NPI 1508831553

66 Mdss-sgsr is a Military/U.S. Coast Guard Pharmacy based in Hanscom Afb, MA. 66 Mdss-sgsr practices in Hanscom Afb, MA. The NPI Number for 66 Mdss-sgsr is 1508831553 and holds a License No. (Massachusetts).

The current practice location address for 66 Mdss-sgsr is 90 Vandenberg Dr, Hanscom Afb, MA and can be reached out via phone at 781-377-1770 and via fax at 781-377-9840.

Location: 90 Vandenberg Dr, Hanscom Afb, MA, 01731-2104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508831553
Provider Name
66 Mdss-sgsr
Credential
Provider Entity Type
Organization
Address
90 Vandenberg Dr, Hanscom Afb, MA, 01731-2104
Phone Number
781-377-1770
Fax Number
781-377-9840
Provider Enumeration Date
02/22/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
22-38029 01 MA NCPDP
institution
Provider Business Practice Location Address Details
Address
90 Vandenberg Dr
City
Hanscom Afb
State
Massachusetts
Zip
01731-2104
Phone Number
781-377-1770
Fax Number
781-377-9840
person
Provider Business Mailing Address Details
Address
90 Vandenberg Dr
City
Hanscom Afb
State
Massachusetts
Zip
01731-2104
Phone Number
781-377-1770
Fax Number
781-377-9840
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.
()
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.
()
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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