325th Medical Group | |
340 Magnolia Cir Tyndall Afb FL 32403-5604 | |
(850) 283-7423 | |
(850) 283-7013 |
Full Name | 325th Medical Group |
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Speciality | Clinic/center |
Location | 340 Magnolia Cir, Tyndall Afb, Florida |
Authorized Official Name and Position | Mary Grace Rojas (ASSOCIATE CHIEF, PHARMACY SERVICES) |
Authorized Official Contact | 8502837423 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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325th Medical Group 340 Magnolia Cir Tyndall Afb FL 32403-5604 Ph: (850) 283-7423 | 325th Medical Group 340 Magnolia Cir Tyndall Afb FL 32403-5604 Ph: (850) 283-7423 |
NPI Number | 1043375389 |
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Provider Enumeration Date | 12/27/2006 |
Last Update Date | 06/13/2008 |
Identifier | Type | State | Issuer |
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1043375389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 0202205849 (Virginia) | Primary |