366th Medgrp-Mountain Home
NPI #1144636515 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1144636515
- Entity Type
- Organization
- Organization Name
- 366th Medgrp-Mountain Home
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 366TH MEDGRP-MOUNTAIN HOME
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Jul 7, 2014
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- 90 HOPE DR BLDG 6000
- State
- Idaho
- ZIP Code
- 83648-1062
- Phone
- (208) 828-7521
Authorized Official
- Name
- HECTOR MORALES
- Title
- CHIEF DHA PASS
- Phone
- (210) 536-6650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Military/U.S. Coast Guard Pharmacy |
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Organizations
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|---|---|
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