NPI age
11 years
Enumerated 2014-07-17
Across 52 active military/u.s. coast guard pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 2146874 | PK |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of 59th Mdw-Whasc-Lackland.
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