359th Mdg
NPI #1306160973 in Randolph Afb, Texas
Provider Information
- NPI Number
- 1306160973
- Entity Type
- Organization
- Organization Name
- 359th Mdg
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Mar 25, 2010
- Last Updated
- Oct 24, 2016
Practice Location
- Address
- 630 3RD ST W
- Address 2
- BLDG 1068
- City
- Randolph Afb
- State
- Texas
- ZIP Code
- 78150-4804
- Phone
- (210) 652-6742
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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