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359 Medical Group
Military/U.S. Coast Guard Pharmacy in Randolph Afb, Texas
NPI 1861800567

359 Medical Group is a Military/U.S. Coast Guard Pharmacy based in Randolph Afb, TX. 359 Medical Group practices in Randolph Afb, TX. The NPI Number for 359 Medical Group is 1861800567 and holds a License No. (Texas).

The current practice location address for 359 Medical Group is 221 3Rd St W Bldg 1040, Randolph Afb, TX and can be reached out via phone at 210-652-4189 and via fax at 210-652-3516.

Location: 221 3Rd St W Bldg 1040, Randolph Afb, TX, 78150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861800567
Provider Name
359 Medical Group
Credential
Provider Entity Type
Organization
Address
221 3Rd St W Bldg 1040, Randolph Afb, TX, 78150
Phone Number
210-652-4189
Fax Number
210-652-3516
Provider Enumeration Date
07/25/2014
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2147027 01 PK
institution
Provider Business Practice Location Address Details
Address
221 3Rd St W Bldg 1040
City
Randolph Afb
State
Texas
Zip
78150-4800
Phone Number
210-652-4189
Fax Number
210-652-3516
person
Provider Business Mailing Address Details
Address
221 3Rd St W Bldg 1040
City
Randolph Afb
State
Texas
Zip
78150-4800
Phone Number
210-652-4189
Fax Number
210-652-3516
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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