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3RD MEDICAL SUPPORT SQUADRON SGSL

>> Military/U.S. Coast Guard Pharmacy >> Suppliers

Registrant NPI Number: 1295834356

Organizational Registrant:
Organization Name:  3RD MEDICAL SUPPORT SQUADRON SGSL
Organization is not Subpart
Authorized Official:  HECTOR  MORALES  CHIEF DHA PASS  210--53-66650

Location and contact information for practice:
5955 ZEAMER AVE  ELMENDORF AFB, AK 99506-3702 US
Tel: 907-580-1175  Fax: 907-580-1176

Contact information for business:
5955 ZEAMER AVE  ELMENDORF AFB, AK 99506-3702 US
Tel: 907-580-1175  Fax: 907-580-1176

Registration Information:
NPI: 1295834356
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332000000XSuppliers
Military/U.S. Coast Guard Pharmacy

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PK199697501




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