71TH MEDICAL GROUP SGSL NPI 1710086079

NPI Information

  • NPI: 1710086079
  • Provider Name: 71TH MEDICAL GROUP SGSL
  • Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
  • Entity Type: Organization
  • Doing Business As: VANCE PHCY 71ST MDG
  • Address: 527 GOTT RD
    ENID, OK
    ZIP 73705
  • Phone: (580) 213-7783

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NPI Details

71TH MEDICAL GROUP SGSL is a military us coast guard pharmacy in Enid, OK. 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. 71TH MEDICAL GROUP SGSL NPI is 1710086079. The provider is registered as an organization entity type.
The provider Is Doing Business As Vance Phcy 71st Mdg.

The provider's business location address is:

527 GOTT RD
ENID, OK
ZIP 73705-103
Phone: (580) 213-7783
Fax: (580) 213-7995

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 1/22/2016.

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 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
12076297OTHERPK

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: 11/21/2025

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