366 MEDICAL GROUP SGSBF

MOUNTAIN HOME AFB, ID
NPI1144636515
Doing Business AsDOD MT HOME EPHCY
Entity TypeOrganization
Authorized ContactHECTOR MORALES
Chief Dha Pass
210-536-6650
Organization Subpart ?No
Primary Taxonomy332000000X MilitaryU.S. Coast Guard Pharmacy
Additional Taxonomies333600000X Pharmacy
Enumeration Date2014-07-07
Last Update Date2016-02-09
Business Address
366 MEDICAL GROUP SGSBF
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7521
Mailing Address
366 MEDICAL GROUP SGSBF
366 MEDICAL GROUP SGSBF 90 HOPE DR. BLDG. 6000
MTN HOME AFB, ID 83648-1062
Phone number: 208-828-7521
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