99th Medical Group - Mike O'callaghan Federal Hospital

NPI #1629130612 in Nellis Afb, Nevada

Provider Information

NPI Number
1629130612
Entity Type
Organization
Organization Name
99th Medical Group - Mike O'callaghan Federal Hospital
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Dec 15, 2006
Last Updated
Jan 11, 2016

Practice Location

Address
MIKE O CALLAGHAN FEDERAL HOSP/SGSAP
Address 2
4700 LAS VEGAS BLVD NORTH BLDG 1300
State
Nevada
ZIP Code
89191
Phone
(702) 653-3201

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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