NPI 1801959473
Mt Home Refill Phcy
Practice location
- Address
- 90 Hope Dr, Mountain Home Afb, ID 83648
- Phone
- (208) 828-7480
- Fax
- (208) 828-3785
Authorised official
- Name
- Hector Morales
- Title
- Pharmacy Operations Center Mgr
- Phone
- (210) 221-8443
Registered specialties
Military/U.S. Coast Guard Pharmacy
Primary
Registry record
- NPI
- 1801959473
- Entity type
- Organization
- NPI issued
- 18 Dec 2006
- Record last updated
- 25 Aug 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.