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30 Medical Group/sgsl
Military/U.S. Coast Guard Pharmacy in Vandenberg Afb, California
NPI 1679670434

30 Medical Group/sgsl is a Military/U.S. Coast Guard Pharmacy based in Vandenberg Afb, CA. 30 Medical Group/sgsl practices in Vandenberg Afb, CA. The NPI Number for 30 Medical Group/sgsl is 1679670434 and holds a License No. (California).

The current practice location address for 30 Medical Group/sgsl is 338 S Dakota Ave, Vandenberg Afb, CA and can be reached out via phone at 805-606-7440 and via fax at 805-734-9842.

Location: 338 S Dakota Ave, Vandenberg Afb, CA, 93437-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679670434
Provider Name
30 Medical Group/sgsl
Credential
Provider Entity Type
Organization
Address
338 S Dakota Ave, Vandenberg Afb, CA, 93437-6307
Phone Number
805-606-7440
Fax Number
805-734-9842
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2115792 01 PK
institution
Provider Business Practice Location Address Details
Address
338 S Dakota Ave
City
Vandenberg Afb
State
California
Zip
93437-6307
Phone Number
805-606-7440
Fax Number
805-734-9842
person
Provider Business Mailing Address Details
Address
338 S Dakota Ave
City
Vandenberg Afb
State
California
Zip
93437-6307
Phone Number
805-606-7440
Fax Number
805-734-9842
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.
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