Dod Fairchild Pharmacy

LBN: 92Nd Medical Group
Dod Fairchild Pharmacy is an health care organization with primary practice located at 701 Hospital Loop # 135 , Fairchild Afb WA 99011-8704. 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. 92Nd Medical Group can be contacted via phone (509) 247-5567, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
701 Hospital Loop # 135 Fairchild Afb WA 99011-8704
Phone: (509) 247-5567
Fax:
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 910569870 Washington

Profile Details

NPI number 1477652519
LBN Legal business name 92Nd Medical Group
DBA Doing business as Dod Fairchild Pharmacy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Apr 7th, 2021 - about 5 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 1477652519 NPPES
Other 2110194 PK

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