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“Military/u.s. Coast Guard Pharmacy” (Mountain Home Afb, ID)

Location: Mountain Home Afb, ID
Taxonomy: Military/u.s. Coast Guard Pharmacy.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1144636515 — 366TH MEDGRP-MOUNTAIN HOME
Practice Location Address:
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062
Practice Phone: 208-828-7521
1801959473 — MT HOME REFILL PHCY
Practice Location Address:
90 HOPE DR
MOUNTAIN HOME AFB ID
83648
Practice Phone: 208-828-7480
1811094667 — 366TH MEDICAL GROUP SGSL
Practice Location Address:
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1057
Practice Phone: 208-828-7480

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