28th Medgrp-Ellsworth
NPI #1710390570 in Ellsworth Afb, South Dakota
Provider Information
- NPI Number
- 1710390570
- Entity Type
- Organization
- Organization Name
- 28th Medgrp-Ellsworth
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 28TH MEDGRP-ELLSWORTH
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Jun 9, 2014
- Last Updated
- May 29, 2025
Practice Location
- Address
- 2900 DOOLITTLE DR
- City
- Ellsworth Afb
- State
- South Dakota
- ZIP Code
- 57706-4821
- Phone
- (605) 385-3250
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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|---|---|
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