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21st Medical Group
Pharmacy in Peterson Afb, Colorado
NPI 1932514171

21st Medical Group is a Pharmacy based in Peterson Afb, CO. 21st Medical Group practices in Peterson Afb, CO. The NPI Number for 21st Medical Group is 1932514171 and holds a License No. (Colorado).

The current practice location address for 21st Medical Group is 110 W Ent Ave, Peterson Afb, CO and can be reached out via phone at 719-556-0865 and via fax at 719-556-1106.

Location: 110 W Ent Ave, Peterson Afb, CO, 80914-1541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932514171
Provider Name
21st Medical Group
Credential
Provider Entity Type
Organization
Address
110 W Ent Ave, Peterson Afb, CO, 80914-1541
Phone Number
719-556-0865
Fax Number
719-556-1106
Provider Enumeration Date
06/26/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2146545 01 PK
institution
Provider Business Practice Location Address Details
Address
110 W Ent Ave
City
Peterson Afb
State
Colorado
Zip
80914-1595
Phone Number
719-556-0865
Fax Number
719-556-1106
person
Provider Business Mailing Address Details
Address
110 W Ent Ave
City
Peterson Afb
State
Colorado
Zip
80914-1595
Phone Number
719-556-0865
Fax Number
719-556-1106
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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