62nd Med Grp

NPI #1366541401 in Mcchord Afb, Washington

Provider Information

NPI Number
1366541401
Entity Type
Organization
Organization Name
62nd Med Grp
Subpart
Yes (part of a larger organization)
Parent Organization
62ND MED GRP
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Sep 22, 2006
Last Updated
Sep 1, 2009

Practice Location

Address
690 BARNES BLVD
ZIP Code
98438-1303
Phone
(253) 982-2474

Authorized Official

Name
HECTOR MORALES
Title
MGR PHRMCY OPERATIONS CNTR
Phone
(210) 221-8443

Specialties & Taxonomy Codes

Specialty
Military/U.S. Coast Guard Pharmacy

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