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Active NPI 1588763536 Organization (Entity Type 2)

Andersen Phcy

Military/U.S. Coast Guard Pharmacy • Andersen Afb, GU

About Andersen Phcy NPI 1588763536 Summary

Andersen Phcy is a verified healthcare organization specializing in Military/U.S. Coast Guard Pharmacy operating in Andersen Afb, GU. Located at BLDG 26000 SANTA ROSA, this facility provides patient care and medical services under National Provider Identifier (NPI) 1588763536.

Administrative operations and authorized compliance are overseen by Hector Morales (Mgr Phrmcy Operations Cntr).

Facility Location & Contact Primary Location

Facility Address

Bldg 26000 Santa Rosa

Andersen Afb, GU 96543

Telephone 6713665271
Fax 6713661229

Authorized Official Information

Authorized Contact Name

Hector Morales

Title / Role

Mgr Phrmcy Operations Cntr

Official Telephone

2102218443

Facility Classifications & Specialties

Military/U.S. Coast Guard Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 332000000X

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 17, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 17, 2008

Registered at BLDG 26000 SANTA ROSA, ANDERSEN AFB, GU 96543 (Tel: 6713665271)

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Updated Business Mailing Address June 17, 2008

Registered at BLDG 26000 SANTA ROSA, ANDERSEN AFB, GU 96543

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Organization / Clinic Name Updated June 17, 2008

Operating as ANDERSEN PHCY

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2008

Military/U.S. Coast Guard Pharmacy

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Initial NPI Registration & Enumeration September 22, 2006

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1588763536
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 22, 2006
Last Update: June 17, 2008

Mailing Address

Bldg 26000 Santa Rosa

Andersen Afb, GU 96543

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.