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366TH MEDGRP-MOUNTAIN HOME

Organization (NPI-2) Active

MilitaryU.S. Coast Guard Pharmacy

Provider Information

NPI Number
1144636515
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID, 836481062
Phone
(208) 828-7521
Fax
(208) 828-7676

Specialties & Taxonomies

Pharmacy
MilitaryU.S. Coast Guard Pharmacy Primary

All Addresses

LOCATION

90 HOPE DR BLDG 6000

MOUNTAIN HOME AFB, ID, 836481062

(208) 828-7521

MAILING

366 MEDICAL GROUP SGSBF 90 HOPE DR. BLDG. 6000

MTN HOME AFB, ID, 836481062

(208) 828-7521