MT HOME REFILL PHCY NPI 1801959473

NPI Information

  • NPI: 1801959473
  • Provider Name: MT HOME REFILL PHCY
  • Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
  • Entity Type: Organization
  • Address: 90 HOPE DR
    MOUNTAIN HOME AFB, ID
    ZIP 83648
  • Phone: (208) 828-7480

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NPI Details

MT HOME REFILL PHCY is a military us coast guard pharmacy in Mountain Home Afb, ID. 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. MT HOME REFILL PHCY NPI is 1801959473. The provider is registered as an organization entity type.

The provider's business location address is:

90 HOPE DR
MOUNTAIN HOME AFB, ID
ZIP 83648
Phone: (208) 828-7480
Fax: (208) 828-3785

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

The enumeration date for this NPI number is 12/18/2006 and was last updated on 8/25/2008.

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

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: 3/30/2025

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