30 Medical Group/sgsl
NPI #1679670434 in Vandenberg Afb, California
Provider Information
- NPI Number
- 1679670434
- Entity Type
- Organization
- Organization Name
- 30 Medical Group/sgsl
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jan 22, 2016
Practice Location
- Address
- 338 S DAKOTA AVE
- Address 2
- BLDG 13850
- City
- Vandenberg Afb
- State
- California
- ZIP Code
- 93437-6307
- Phone
- (805) 606-7440
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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