92nd Medical Group
NPI #1205102761 in Fairchild Afb, Washington
Provider Information
- NPI Number
- 1205102761
- Entity Type
- Organization
- Organization Name
- 92nd Medical Group
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Mar 29, 2012
- Last Updated
- Jun 12, 2015
Practice Location
- Address
- 103 SAATZ RD
- City
- Fairchild Afb
- State
- Washington
- ZIP Code
- 99011
- Phone
- (509) 247-5567
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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