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354 Mdg
Military/U.S. Coast Guard Pharmacy in Eielson Afb, Alaska
NPI 1902218415

354 Mdg is a Military/U.S. Coast Guard Pharmacy based in Eielson Afb, AK. 354 Mdg practices in Eielson Afb, AK. The NPI Number for 354 Mdg is 1902218415 and holds a License No. (Alaska).

The current practice location address for 354 Mdg is 2630 Central Ave Ste 1M07, Eielson Afb, AK and can be reached out via phone at 907-377-1462 and via fax at 907-377-4105.

Location: 2630 Central Ave Ste 1M07, Eielson Afb, AK, 99702-2325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902218415
Provider Name
354 Mdg
Credential
Provider Entity Type
Organization
Address
2630 Central Ave Ste 1M07, Eielson Afb, AK, 99702-2325
Phone Number
907-377-1462
Fax Number
907-377-4105
Provider Enumeration Date
06/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2146023 01 PK
institution
Provider Business Practice Location Address Details
Address
2630 Central Ave Ste 1M07
City
Eielson Afb
State
Alaska
Zip
99702-2325
Phone Number
907-377-1462
Fax Number
907-377-4105
person
Provider Business Mailing Address Details
Address
2630 Central Ave Ste 1M07
City
Eielson Afb
State
Alaska
Zip
99702-2325
Phone Number
907-377-1462
Fax Number
907-377-4105
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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