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Organization
4TH MEDGRP-SEYMOUR JOHNSON
Active
Organization
4TH MEDGRP-SEYMOUR JOHNSON
Active
Parent organization
4TH MEDGRP-SEYMOUR JOHNSON
Other names
DoD SEY-JOHN ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
4TH MEDGRP-SEYMOUR JOHNSON
Authorized official
TIFFANY LIGHTHILL (NCOIC, UNIFORM BUSINESS OFFICE)
(919) 722-8257
Entity
Organization
Contact information
Practice address
2803 MEDICAL CAMPUS DRIVE, SEYMOUR JOHNSON AFB, NC 27531
(919) 722-8257
Mailing address
2803 MEDICAL CAMPUS DRIVE, SEYMOUR JOHNSON AFB, NC 27531
(919) 722-1811
(919) 722-1895
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
NULL
Other
Enumeration date
07/28/2014
Last updated
05/30/2025
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