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99th Medical Group - Mike O'callaghan Federal Hospital
Pharmacy in Las Vegas, Nevada
NPI 1912006347

99th Medical Group - Mike O'callaghan Federal Hospital is a Pharmacy based in Las Vegas, NV. 99th Medical Group - Mike O'callaghan Federal Hospital practices in Las Vegas, NV. The NPI Number for 99th Medical Group - Mike O'callaghan Federal Hospital is 1912006347 and holds a License No. (Nevada).

The current practice location address for 99th Medical Group - Mike O'callaghan Federal Hospital is 4700 Las Vegas Blvd N, Las Vegas, NV and can be reached out via phone at 702-653-3205 and via fax at 702-653-2106.

Location: 4700 Las Vegas Blvd N, Las Vegas, NV, 89191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912006347
Provider Name
99th Medical Group - Mike O'callaghan Federal Hospital
Credential
Provider Entity Type
Organization
Address
4700 Las Vegas Blvd N, Las Vegas, NV, 89191
Phone Number
702-653-3205
Fax Number
702-653-2106
Provider Enumeration Date
09/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2051374 01 PK
institution
Provider Business Practice Location Address Details
Address
4700 Las Vegas Blvd N
City
Las Vegas
State
Nevada
Zip
89191-6600
Phone Number
702-653-3205
Fax Number
702-653-2106
person
Provider Business Mailing Address Details
Address
4700 Las Vegas Blvd N
City
Las Vegas
State
Nevada
Zip
89191-6600
Phone Number
702-653-3205
Fax Number
702-653-2106
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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