45th Medical Group -Sgam
NPI #1366541088 in Patrick Afb, Florida
Provider Information
- NPI Number
- 1366541088
- Entity Type
- Organization
- Organization Name
- 45th Medical Group -Sgam
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Aug 12, 2015
Practice Location
- Address
- 1381 S PATRICK DR
- City
- Patrick Afb
- State
- Florida
- ZIP Code
- 32925-3606
- Phone
- (321) 494-8290
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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