96th Medgrp-Eglin

NPI #1083012223 in Eglin Afb, Florida

Provider Information

NPI Number
1083012223
Entity Type
Organization
Organization Name
96th Medgrp-Eglin
Subpart
Yes (part of a larger organization)
Parent Organization
96TH MEDGRP-EGLIN
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Dec 19, 2014
Last Updated
Jun 11, 2025

Practice Location

Address
4315 EL SALVADOR WAY
Address 2
BUILDING 4315
State
Florida
ZIP Code
32542-1711
Phone
(850) 885-7554

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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