56TH MEDICAL GROUP SGSL NPI 1215036389

NPI Information

56TH MEDICAL GROUP SGSL is a military us coast guard pharmacy in Luke Afb, AZ. 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. 56TH MEDICAL GROUP SGSL NPI is 1215036389. The provider is registered as an organization entity type.
The provider Is Doing Business As Luke Satl Phcy.

The provider's business location address is:

7219 N LITCHFIELD RD
LUKE AFB, AZ
ZIP 85309-529
Phone: (623) 856-3068
Fax: (623) 856-6120

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 9/22/2006 and was last updated on 5/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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