21 Medical Group
NPI #1669579413 in Usaf Academy, Colorado
Provider Information
- NPI Number
- 1669579413
- Entity Type
- Organization
- Organization Name
- 21 Medical Group
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jan 13, 2016
Practice Location
- Address
- 8119 PARK DR
- City
- Usaf Academy
- State
- Colorado
- ZIP Code
- 80840-2397
- Phone
- (719) 333-0545
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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