92d Medgrp-Fairchild
NPI #1477652519 in Fairchild Afb, Washington
Provider Information
- NPI Number
- 1477652519
- Entity Type
- Organization
- Organization Name
- 92d Medgrp-Fairchild
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 92D MEDGRP-FAIRCHILD
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- 701 HOSPITAL LOOP # 135
- City
- Fairchild Afb
- State
- Washington
- ZIP Code
- 99011-8704
- Phone
- (509) 247-5567
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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