14th Medical Group Sgsl

NPI #1386743706 in Columbus, Mississippi

Provider Information

NPI Number
1386743706
Entity Type
Organization
Organization Name
14th Medical Group Sgsl
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Sep 22, 2006
Last Updated
Feb 10, 2016

Practice Location

Address
201 INDEPENDENCE BLDG 1100
ZIP Code
39710-5300
Phone
(662) 434-2168

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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