61ST MEDICAL SQUADRON SGSR is a military us coast guard pharmacy in El Segundo, CA. 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. 61ST MEDICAL SQUADRON SGSR NPI is 1720496383. The provider is registered as an organization entity type.
The provider Is Doing Business As Dod Los Angeles Ephcy.
The provider's business location address is:
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA
ZIP 90245-808
Phone: (310) 653-6841
Fax: (310) 653-6658
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 7/28/2014 and was last updated on 3/30/2016.