355th Medgrp-Davis-Monthan

NPI #1366856155 in Davis Monthan Afb, Arizona

Provider Information

NPI Number
1366856155
Entity Type
Organization
Organization Name
355th Medgrp-Davis-Monthan
Subpart
Yes (part of a larger organization)
Parent Organization
355TH MEDGRP-DAVIS-MONTHAN
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Jun 19, 2014
Last Updated
Jun 13, 2025

Practice Location

Address
5405 E GRANITE ST
Address 2
BLDG # 2527 ROOM # 127
State
Arizona
ZIP Code
85707-3004
Phone
(520) 228-1924

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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