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NORTH BEND USCG PHCY

Military Coast Guard Pharmacy

North Bend, Oregon

Provider NPI: 1790884054

Organization Information:
Organization Name:  NORTH BEND USCG PHCY


Practice Location:
1655 MAPLE STMARTIN J NEIMEROFF CL  NORTH BEND, OR 97459 US
Tel: 541-756-9234  Fax: --

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


Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
OTHER ID NUMBER-COMMERCIAL NUMBER381478101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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