1811094667 366TH MEDICAL GROUP SGSL

Military/U.S. Coast Guard Pharmacy

Active

Basic Information

Organization Name
366TH MEDICAL GROUP SGSL
Enumeration Date
September 20, 2006
Last Update
February 8, 2016
Authorized Official
HECTOR MORALES
CHIEF DHA PASS
Phone: (210) 536-6650

Practice Location

Address
90 HOPE DR
BLDG 6000
MOUNTAIN HOME AFB, ID 836481057
Phone
(208) 828-7480
Fax
(208) 828-3785

Mailing Address

Address
90 HOPE DR
BLDG 6000
MOUNTAIN HOME AFB, ID 836481057
Phone
(208) 828-7480
Fax
(208) 828-3785

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pharmacy
333600000X Pharmacy N/A N/A No
Military/U.S. Coast Guard Pharmacy
332000000X Military/U.S. Coast Guard Pharmacy N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
2021727 01 N/A PK

Frequently Asked Questions

What is 366TH MEDICAL GROUP SGSL's NPI number?
366TH MEDICAL GROUP SGSL's NPI number is 1811094667.
Which doctor has NPI number 1811094667?
The doctor with NPI number 1811094667 is 366TH MEDICAL GROUP SGSL.
What is 366TH MEDICAL GROUP SGSL's practice address?
366TH MEDICAL GROUP SGSL's practice address is 90 HOPE DR, BLDG 6000, MOUNTAIN HOME AFB, ID, 836481057.
Which doctor practices at 90 HOPE DR, BLDG 6000, MOUNTAIN HOME AFB, ID, 836481057?
366TH MEDICAL GROUP SGSL practices at 90 HOPE DR, BLDG 6000, MOUNTAIN HOME AFB, ID, 836481057.
What is 366TH MEDICAL GROUP SGSL's phone number?
366TH MEDICAL GROUP SGSL's phone number is (208) 828-7480.
Who is (208) 828-7480?
(208) 828-7480 is the phone number for 366TH MEDICAL GROUP SGSL.
What is 366TH MEDICAL GROUP SGSL's specialty?
366TH MEDICAL GROUP SGSL's specialty is Military/U.S. Coast Guard Pharmacy.
What type of doctor is 366TH MEDICAL GROUP SGSL?
366TH MEDICAL GROUP SGSL is a Military/U.S. Coast Guard Pharmacy.
Is 366TH MEDICAL GROUP SGSL a Military/U.S. Coast Guard Pharmacy?
Yes, 366TH MEDICAL GROUP SGSL is a Military/U.S. Coast Guard Pharmacy.
Is 366TH MEDICAL GROUP SGSL still practicing?
Yes, 366TH MEDICAL GROUP SGSL is currently practicing.
Is 366TH MEDICAL GROUP SGSL accepting new patients?
366TH MEDICAL GROUP SGSL may be accepting new patients. Please call their office at (208) 828-7480 to inquire about availability.
Is NPI 1811094667 still active?
Yes, NPI 1811094667 is currently active.
Where does 366TH MEDICAL GROUP SGSL practice?
366TH MEDICAL GROUP SGSL practices in MOUNTAIN HOME AFB, ID.