21st Medical Group
NPI #1548369259 in Peterson Afb, Colorado
Provider Information
- NPI Number
- 1548369259
- Entity Type
- Organization
- Organization Name
- 21st Medical Group
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Jan 13, 2016
Practice Location
- Address
- 559 VINCENT ST
- City
- Peterson Afb
- State
- Colorado
- ZIP Code
- 80914-1541
- Phone
- (719) 333-2273
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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