42nd Medical Group Sgsl
NPI #1497854566 in Maxwell Afb, Alabama
Provider Information
- NPI Number
- 1497854566
- Entity Type
- Organization
- Organization Name
- 42nd Medical Group Sgsl
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Feb 9, 2016
Practice Location
- Address
- BLDG 810 GUNTER ANNEX
- City
- Maxwell Afb
- State
- Alabama
- ZIP Code
- 36112
- Phone
- (334) 416-5455
Authorized Official
- Name
- HECTOR MORALES
- Title
- CHIEF DHA PASS
- Phone
- (210) 536-6650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Military/U.S. Coast Guard Pharmacy |
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