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KIMBROUGH ACC MILITARY MTF

Military Coast Guard Pharmacy

Fort Myer, Virginia

Provider NPI: 1316353782

Organization Information:
Organization Name:  KIMBROUGH ACC MILITARY MTF


Practice Location:
401 CARPENTER RD BLDG 525  FORT MYER, VA 22211 US
Tel: 703-696-3616  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332000000XSuppliers
Military/U.S. Coast Guard Pharmacy
N333600000XSuppliers
Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
PK214666601
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PHARMACY JOBS VA - Page 1

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