17th Medgrp-Goodfellow
NPI #1346654175 in Goodfellow Afb, Texas
Provider Information
- NPI Number
- 1346654175
- Entity Type
- Organization
- Organization Name
- 17th Medgrp-Goodfellow
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 17TH MEDGRP-GOODFELLOW
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Jun 19, 2014
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- 271 FORT RICHARDSON AVE
- City
- Goodfellow Afb
- State
- Texas
- ZIP Code
- 76908-4901
- Phone
- (325) 654-3101
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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