Randolph Bx Phcy

LBN: 359Th Mdg
Randolph Bx Phcy is an health care organization with primary practice located at 630 3Rd St W Bldg 1068, Randolph Afb TX 78150-4804. The organization recently has only one registered license in Suppliers / Military/U.S. Coast Guard Pharmacy, which is considered as the primary health care specialty. 359Th Mdg can be contacted via phone (210) 652-6742, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
630 3Rd St W Bldg 1068 Randolph Afb TX 78150-4804
Phone: (210) 652-6742
Fax: (210) 652-3516
Website:
Map and Directions
Authorized official contact:
Name: Morales, Hector
Phone: (210) 536-6650

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1306160973
LBN Legal business name 359Th Mdg
DBA Doing business as Randolph Bx Phcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2010
Last updated Oct 24th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306160973 NPPES
Other 2124452 PK

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