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90th Medical Group-united States Air Force
Military/U.S. Coast Guard Pharmacy in Fe Warren Afb, Wyoming
NPI 1609859826

90th Medical Group-united States Air Force is a Military/U.S. Coast Guard Pharmacy based in Fe Warren Afb, WY. 90th Medical Group-united States Air Force practices in Fe Warren Afb, WY. The NPI Number for 90th Medical Group-united States Air Force is 1609859826 and holds a License No. (Wyoming).

The current practice location address for 90th Medical Group-united States Air Force is 6900 Alden Dr Bldg 160, Fe Warren Afb, WY and can be reached out via phone at 307-773-4855 and via fax at 307-773-3731.

Location: 6900 Alden Dr Bldg 160, Fe Warren Afb, WY, 82005-3906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609859826
Provider Name
90th Medical Group-united States Air Force
Credential
Provider Entity Type
Organization
Address
6900 Alden Dr Bldg 160, Fe Warren Afb, WY, 82005-3906
Phone Number
307-773-4855
Fax Number
307-773-3731
Provider Enumeration Date
11/22/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52-03625 01 WY NCPDP
institution
Provider Business Practice Location Address Details
Address
6900 Alden Dr Bldg 160
City
Fe Warren Afb
State
Wyoming
Zip
82005-2945
Phone Number
307-773-4855
Fax Number
307-773-3731
person
Provider Business Mailing Address Details
Address
6900 Alden Dr Bldg 160
City
Fe Warren Afb
State
Wyoming
Zip
82005-2945
Phone Number
307-773-4855
Fax Number
307-773-3731
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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