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Kimbrough Acc Military Mtf
Military/U.S. Coast Guard Pharmacy in Frederick, Maryland
NPI 1649296815

Kimbrough Acc Military Mtf is a Military/U.S. Coast Guard Pharmacy based in Fort Meade, MD. Kimbrough Acc Military Mtf practices in Frederick, MD. The NPI Number for Kimbrough Acc Military Mtf is 1649296815 and holds a License No. (Maryland).

The current practice location address for Kimbrough Acc Military Mtf is 1434 Porter St, Frederick, MD and can be reached out via phone at 301-619-7175 and via fax at 301-619-7676. You can also correspond with Kimbrough Acc Military Mtf through the mailing address at 2480 LLEWELLYN AVE, FORT MEADE, MD - 20755-7081 (mailing address contact number: 301-677-8253).

Location: 1434 Porter St, Frederick, MD, 20755-7081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649296815
Provider Name
Kimbrough Acc Military Mtf
Credential
Provider Entity Type
Organization
Address
1434 Porter St, Frederick, MD, 20755-7081
Phone Number
301-619-7175
Fax Number
301-619-7676
Provider Enumeration Date
07/14/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164507703 01 PARENT FACILITY NPI
AN2598588 01 MEDCO
institution
Provider Business Practice Location Address Details
Address
1434 Porter St
City
Frederick
State
Maryland
Zip
21702-9210
Phone Number
301-619-7175
Fax Number
301-619-7676
person
Provider Business Mailing Address Details
Address
1434 Porter St
City
Frederick
State
Maryland
Zip
21702-9210
Phone Number
301-619-7175
Fax Number
301-619-7676
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
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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