Altus Phcy 97th Mdg

NPI #1336246180 in Altus Afb, Oklahoma

Provider Information

NPI Number
1336246180
Entity Type
Organization
Organization Name
Altus Phcy 97th Mdg
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Sep 20, 2006
Last Updated
Feb 27, 2017

Practice Location

Address
301 N 1ST ST
ZIP Code
73523-5004
Phone
(580) 481-5258

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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