628th Medgrp-Charleston
NPI #1114332368 in Charleston Afb, South Carolina
Provider Information
- NPI Number
- 1114332368
- Entity Type
- Organization
- Organization Name
- 628th Medgrp-Charleston
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 628TH MEDGRP-CHARLESTON
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Jun 26, 2014
- Last Updated
- May 30, 2025
Practice Location
- Address
- 204 W HILL BLVD BLDG 364
- City
- Charleston Afb
- State
- South Carolina
- ZIP Code
- 29404-4704
- Phone
- (843) 963-6805
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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