Willford Hall Medical Ctr

NPI #1790884856 in Lackland Afb, Texas

Provider Information

NPI Number
1790884856
Entity Type
Organization
Organization Name
Willford Hall Medical Ctr
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Sep 22, 2006
Last Updated
Mar 25, 2016

Practice Location

Address
BLDG 6612
Address 2
2200 BERGQUIST DR STE 1
State
Texas
ZIP Code
78236-5300
Phone
(210) 292-4062

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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Provider Name
59th Mdw-Whasc-Lackland

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