National Provider Identifier Database

75 MDG PHARMACY
Pharmacist

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.


Contact Information

75 MDG PHARMACY
7321 11TH ST BLDG 570
HILL AFB, UT84056-5012
Phone: 801-777-0419
Fax: 801-586-9890
Website:
Specialty Taxonomy Code
* Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for 75 MDG PHARMACY

NPI Number 1356405336
Legal business name
LBN
75 MDG PHARMACY
Authorized official NICHOLAS COSENTINO - (PHARMACY FLIGHT COMMANDER)
Entity Organization
Organization subpart No
Enumeration date 12/21/2006
Last updated 06/13/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 4609268 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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