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45th Medical Group-sgam
Pharmacy in Patrick Afb, Florida
NPI 1568878676

45th Medical Group-sgam is a Pharmacy based in Patrick Afb, FL. 45th Medical Group-sgam practices in Patrick Afb, FL. The NPI Number for 45th Medical Group-sgam is 1568878676 and holds a License No. (Florida).

The current practice location address for 45th Medical Group-sgam is 1381 S Patrick Dr, Patrick Afb, FL and can be reached out via phone at 321-494-3988 and via fax at 321-494-7117.

Location: 1381 S Patrick Dr, Patrick Afb, FL, 32925-3606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568878676
Provider Name
45th Medical Group-sgam
Credential
Provider Entity Type
Organization
Address
1381 S Patrick Dr, Patrick Afb, FL, 32925-3606
Phone Number
321-494-3988
Fax Number
321-494-7117
Provider Enumeration Date
07/09/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2146750 01 PK
institution
Provider Business Practice Location Address Details
Address
1381 S Patrick Dr
City
Patrick Afb
State
Florida
Zip
32925-3606
Phone Number
321-494-3988
Fax Number
321-494-7117
person
Provider Business Mailing Address Details
Address
1381 S Patrick Dr
City
Patrick Afb
State
Florida
Zip
32925-3606
Phone Number
321-494-3988
Fax Number
321-494-7117
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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