366 MEDICAL GROUP SGSBF is a military us coast guard pharmacy in Mountain Home Afb, ID. The provider is 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. 366 MEDICAL GROUP SGSBF NPI is 1144636515. The provider is registered as an organization entity type.
The provider Is Doing Business As Dod Mt Home Ephcy.
The provider's business location address is:
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID
ZIP 83648-062
Phone: (208) 828-7521
Fax: (208) 828-7676
The provider's authorized official is Hector Morales .
The authorized official title is Chief Dha Pass and has the following contact phone number (210) 536-6650.
The enumeration date for this NPI number is 7/7/2014 and was last updated on 2/9/2016.