Altus Phcy 97Th Mdg

LBN: Altus Phcy 97Th Mdg
Altus Phcy 97Th Mdg is an health care organization with primary practice located at 301 N 1St St , Altus Afb OK 73523-5004. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Military/U.S. Coast Guard Pharmacy, Suppliers / Pharmacy. Suppliers / Military/U.S. Coast Guard Pharmacy is the primary health care specialty. Altus Phcy 97Th Mdg can be contacted via phone (580) 481-5258, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
301 N 1St St Altus Afb OK 73523-5004
Phone: (580) 481-5258
Fax: (580) 481-7420
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
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1336246180
LBN Legal business name Altus Phcy 97Th Mdg
DBA Doing business as Altus Phcy 97Th Mdg
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 27th, 2017 - about 9 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 1336246180 NPPES
Other 2074861 PK

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