92 Medical Group
NPI #1215099189 in Fairchild Afb, Washington
Provider Information
- NPI Number
- 1215099189
- Entity Type
- Organization
- Organization Name
- 92 Medical Group
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Dec 15, 2006
- Last Updated
- Jun 12, 2015
Practice Location
- Address
- 701 HOSPITAL LOOP
- Address 2
- SUITE 135
- City
- Fairchild Afb
- State
- Washington
- ZIP Code
- 99011-8704
- 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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