96th Medical Support Squadron

NPI #1013016773 in Eglin Afb, Florida

Provider Information

NPI Number
1013016773
Entity Type
Organization
Organization Name
96th Medical Support Squadron
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Sep 21, 2006
Last Updated
Jun 24, 2015

Practice Location

Address
307 BOATNER RD STE 114
Address 2
BLDG 1758
State
Florida
ZIP Code
32542-1302
Phone
(850) 883-8444

Authorized Official

Name
HECTOR MORALES
Title
CHIEF DHA PASS
Phone
(210) 536-6650

Specialties & Taxonomy Codes

Specialty
Military/U.S. Coast Guard Pharmacy

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96th Medgrp-Eglin

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