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NORTH BEND USCG PHCY NPI 1790884054


NPI Information

NPI: 1790884054
Provider Name: NORTH BEND USCG PHCY
Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
Entity Type: Organization

CLIA Number: 38D0988134

Address:
1655 MAPLE STMARTIN J NEIMEROFF CL
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-9234
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NORTH BEND USCG PHCY is a military us coast guard pharmacy in North Bend, OR. The provider is a Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. NORTH BEND USCG PHCY NPI is 1790884054. The provider is registered as an organization entity type.

The provider's business location address is:

1655 MAPLE STMARTIN J NEIMEROFF CL
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-9234
Fax: (541) 756-9617

The provider's authorized official is Hector Morales .
The authorized official title is Mgr Phrmcy Operations Cntr and has the following contact phone number (210) 221-8443.

The CLIA number assigned to this NPI record is 38D0988134 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 4/16/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332000000XMilitary/U.S. Coast Guard PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13814781OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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