82nd Medical Group Sgsl

NPI #1568561785 in Sheppard Afb, Texas

Provider Information

NPI Number
1568561785
Entity Type
Organization
Organization Name
82nd Medical Group Sgsl
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Sep 22, 2006
Last Updated
Jan 20, 2016

Practice Location

Address
BLDG 1200
State
Texas
ZIP Code
76311
Phone
(940) 676-6310

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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