59th Mdw-Whasc-Lackland

NPI #1699269852 in Lackland, Texas

Provider Information

NPI Number
1699269852
Entity Type
Organization
Organization Name
59th Mdw-Whasc-Lackland
Subpart
Yes (part of a larger organization)
Parent Organization
59TH MDW-WHASC-LACKLAND
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Jun 20, 2018
Last Updated
Jun 13, 2025

Practice Location

Address
1940 CARSWELL AVE
Address 2
BLDG 7002
State
Texas
ZIP Code
78236
Phone
(210) 671-9637

Authorized Official

Name
CYNTHIA DE LA CRUZ
Title
MTF SUPPORT
Phone
(210) 536-6650

Specialties & Taxonomy Codes

Specialty
Military/U.S. Coast Guard Pharmacy

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