47th Medical Group Sgsl
NPI #1679672893 in Laughlin Afb, Texas
Provider Information
- NPI Number
- 1679672893
- Entity Type
- Organization
- Organization Name
- 47th Medical Group Sgsl
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Mar 28, 2016
Practice Location
- Address
- 590 MITCHELL BLVD
- Address 2
- BLDG 375
- City
- Laughlin Afb
- State
- Texas
- ZIP Code
- 78843-5242
- Phone
- (830) 298-6451
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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