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Contact Information

45 MDSS PATRICK AFB
1381 S. PATRICK DR.
45 MDSS
PATRICK AFB, FL32925-3405
 Phone: 321-494-8991
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for 45 MDSS PATRICK AFB

NPI # 1467606384
LBN Legal business name 45 MDSS PATRICK AFB
Authorized official JESSICA PABON - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2008
Last updated 09/12/2011 - About 15 years ago
Identifiers
FL License # BW6120656
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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