Dod Edwards Pharmacy

LBN: 95Th Medical Group Sgsr
Dod Edwards Pharmacy is an health care organization with primary practice located at 30 Nightingale Rd Bldg 5525, Edwards Afb CA 93524-1730. 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. 95Th Medical Group Sgsr can be contacted via phone (661) 277-2052, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
30 Nightingale Rd Bldg 5525 Edwards Afb CA 93524-1730
Fax: (661) 277-8284
Website:
Authorized official contact:
Name: Morales, Hector

Health care specialties

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

Profile Details

NPI number 1548673163
LBN Legal business name 95Th Medical Group Sgsr
DBA Doing business as Dod Edwards Pharmacy
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2014
Last updated Jan 7th, 2021 - about 4 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 1548673163 NPPES
Other 2146265 PK

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