27th Special Ops Medgrp-Cannon
NPI #1417356072 in Cannon Afb, New Mexico
Provider Information
- NPI Number
- 1417356072
- Entity Type
- Organization
- Organization Name
- 27th Special Ops Medgrp-Cannon
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 27TH SPECIAL OPS MEDGRP-CANNON
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Aug 20, 2014
- Last Updated
- Sep 2, 2025
Practice Location
- Address
- 224 WEST D. L. INGRAM BLVD
- Address 2
- BLDG 1408
- City
- Cannon Afb
- State
- New Mexico
- ZIP Code
- 88103-5103
- Phone
- (575) 784-4912
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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