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KELLY OP PHCY NPI 1386743524


NPI Information

NPI: 1386743524
Provider Name: KELLY OP PHCY
Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
Entity Type: Organization
Address:
204 WAGNER DR
BLDG 1740
KELLY AFB, TX
ZIP 78241
Phone: (210) 925-8304
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KELLY OP PHCY is a military us coast guard pharmacy in Kelly Afb, TX. 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. KELLY OP PHCY NPI is 1386743524. The provider is registered as an organization entity type.

The provider's business location address is:

204 WAGNER DR
BLDG 1740
KELLY AFB, TX
ZIP 78241-846
Phone: (210) 925-8304
Fax: (210) 292-1962

The provider's authorized official is Hector Morales .
The authorized official title is Mgr Phrmcy Operations Cntr and has the following contact phone number (210) 221-8443.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 3/26/2009.


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
14511944OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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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