316th Medgrp-Malcolm Grow
NPI #1518379395 in Joint Base Andrews, Maryland
Provider Information
- NPI Number
- 1518379395
- Entity Type
- Organization
- Organization Name
- 316th Medgrp-Malcolm Grow
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 316TH MEDGRP-MALCOLM GROW
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- May 28, 2014
- Last Updated
- Mar 12, 2025
Practice Location
- Address
- 1060 W PERIMETER RD
- State
- Maryland
- ZIP Code
- 20762-6602
- Phone
- (240) 612-2139
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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