366TH MEDGRP-MOUNTAIN HOME

NPI: 1144636515 · Organization · Active

Primary Specialty

Military/U.S. Coast Guard Pharmacy

Practice Location

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062 Map ↗
Phone: 208-828-7521
Fax: 208-828-7676

All Specialties & Licenses

  • Military/U.S. Coast Guard Pharmacy Primary
  • Pharmacy

NPI Registration

Enumerated: 2014-07-07

Last CMS Update: 2025-06-13