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377th Medical Group - Kirtland Afb
Military/U.S. Coast Guard Pharmacy in Albuquerque, New Mexico
NPI 1740694553

377th Medical Group - Kirtland Afb is a Military/U.S. Coast Guard Pharmacy based in Kirtland Afb, NM. 377th Medical Group - Kirtland Afb practices in Albuquerque, NM. The NPI Number for 377th Medical Group - Kirtland Afb is 1740694553 and holds a License No. (New Mexico).

The current practice location address for 377th Medical Group - Kirtland Afb is 1501 San Pedro Dr Se Bldg 47, Albuquerque, NM and can be reached out via phone at 505-846-7775 and via fax at 505-846-3137.

Location: 1501 San Pedro Dr Se Bldg 47, Albuquerque, NM, 87117-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740694553
Provider Name
377th Medical Group - Kirtland Afb
Credential
Provider Entity Type
Organization
Address
1501 San Pedro Dr Se Bldg 47, Albuquerque, NM, 87117-0001
Phone Number
505-846-7775
Fax Number
505-846-3137
Provider Enumeration Date
06/19/2014
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2146419 01 PK
institution
Provider Business Practice Location Address Details
Address
1501 San Pedro Dr Se Bldg 47
City
Albuquerque
State
New Mexico
Zip
87108-5153
Phone Number
505-846-7775
Fax Number
505-846-3137
person
Provider Business Mailing Address Details
Address
1501 San Pedro Dr Se Bldg 47
City
Albuquerque
State
New Mexico
Zip
87108-5153
Phone Number
505-846-7775
Fax Number
505-846-3137
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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