Eglin Main Phcy

LBN: 96Th Medical Support Squadron
Eglin Main Phcy is an health care organization with primary practice located at 307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302. 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. 96Th Medical Support Squadron can be contacted via phone (850) 883-8444, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302
Phone: (850) 883-8444
Fax: (850) 883-8659
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 1659478402
LBN Legal business name 96Th Medical Support Squadron
DBA Doing business as Eglin Main Phcy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 6th, 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 1659478402 NPPES
Other 2010175 PK

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