359th Mdg
NPI #1598862344 in Universal City, Texas
Provider Information
- NPI Number
- 1598862344
- Entity Type
- Organization
- Organization Name
- 359th Mdg
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jan 13, 2016
Practice Location
- Address
- 221 3RD ST W BLDG 1040
- City
- Universal City
- State
- Texas
- ZIP Code
- 78150-4800
- Phone
- (210) 652-4127
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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