628 Medical Group is not a DME supplier for medicare equipments and products.
628 Medical Group is a Military/U.S. Coast Guard Outpatient in Charleston Afb, South Carolina. It is located at 204 W Hill Blvd, Bldg 364, Charleston Afb and it's customer support contact number is 843-963-6884. The authorized person of 628 Medical Group is Serena Lynn Hansken who is Air Force Uniform Business Office of the pharmacy and his contact number is 703-588-6419. 628 Medical Group is the Defense Health Program or U.S. Coast Guard funded “fixed” facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A “fixed” facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the “fixed” facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Pharmacy Details:
628 Medical Group type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
628 Medical Group
Type:
Military/U.S. Coast Guard Outpatient
Location:
204 W Hill Blvd, Bldg 364, Charleston Afb, South Carolina, 29404-4704
Phone:
843-963-6884
Fax:
843-963-6538
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Serena Lynn Hansken
Position:
Air Force Uniform Business Office
Contact Number:
703-588-6419
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1114905775
NPI Enumeration Date:
04 Jan, 2006
NPI Last Update On:
27 Jan, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 628 Medical Group are as mentioned below.
Specialization
License Number
State
Status
Military/U.S. Coast Guard Outpatient
Primary
Military and U.S. Coast Guard Ambulatory Procedure
Secondary
Military/u.s. Coast Guard Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
42-22181
Other
South Carolina
Ncpdp
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
204 W Hill Blvd, Bldg 364 Charleston Afb, South Carolina
Zip:
29404-4704
Phone Number:
843-963-6884
Fax Number:
843-963-6538
Patients can reach 628 Medical Group at 204 W Hill Blvd, Bldg 364, Charleston Afb, South Carolina or can call on customer care at 843-963-6884.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Other Pharmacies in Charleston Afb, South Carolina
Dod Charleston Afb Pharmacy Speciality:Military/U.S. Coast Guard Pharmacy Address: 204 W Hill Blvd Bldg 364, Charleston Afb, SC Phone: 843-963-6805 Fax: 843-963-6727