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31ST MEDICAL GROUP SGSL NPI 1316016496


NPI Information

NPI: 1316016496
Provider Name: 31ST MEDICAL GROUP SGSL

Doing Business As: AVIANO MAIN PHCY

Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
Entity Type: Organization
Address:
BLDG 121
AVIANO AB ITALY
APO, AE
ZIP 09604
Phone: (210) 536-6650
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31ST MEDICAL GROUP SGSL is a military us coast guard pharmacy in Apo, AE. 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. 31ST MEDICAL GROUP SGSL NPI is 1316016496. The provider is registered as an organization entity type.
The provider Is Doing Business As Aviano Main Phcy.

The provider's business location address is:

BLDG 121
AVIANO AB ITALY
APO, AE
ZIP 09604-245
Phone: (210) 536-6650

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 11/6/2006 and was last updated on 1/26/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332000000XMilitary/U.S. Coast Guard PharmacyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12113916OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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