412th Medgrp-Edwards
NPI #1548673163 in Edwards Afb, California
Provider Information
- NPI Number
- 1548673163
- Entity Type
- Organization
- Organization Name
- 412th Medgrp-Edwards
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 412TH MEDGRP-EDWARDS
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Jun 11, 2014
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 30 NIGHTINGALE RD
- Address 2
- BLDG 5525
- City
- Edwards Afb
- State
- California
- ZIP Code
- 93524-1730
- Phone
- (661) 277-2052
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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