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49TH MEDICAL GROUP NPI 1356755185


NPI Information

NPI: 1356755185
Provider Name: 49TH MEDICAL GROUP

Doing Business As: DOD HOLLOMAN EPHCY

Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
Entity Type: Organization
Address:
280 1ST ST BLDG 15
HOLLOMAN AFB, NM
ZIP 88330
Phone: (575) 572-0524
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49TH MEDICAL GROUP is a military us coast guard pharmacy in Holloman Afb, NM. 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. 49TH MEDICAL GROUP NPI is 1356755185. The provider is registered as an organization entity type.
The provider Is Doing Business As Dod Holloman Ephcy.

The provider's business location address is:

280 1ST ST BLDG 15
HOLLOMAN AFB, NM
ZIP 88330-273
Phone: (575) 572-0524
Fax: (575) 572-5781

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 6/19/2014 and was last updated on 6/18/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12146416OTHERPK

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: 5/5/2024

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