673rd Medical Group Joint Base Elmendorf-Richardson

NPI #1821402652 in Jber, Alaska

Provider Information

NPI Number: 1821402652
Entity Type: Organization
Organization Name: 673rd Medical Group Joint Base Elmendorf-Richardson
Primary Specialty: Military/U.S. Coast Guard Pharmacy
Enumeration Date: Jun 19, 2014
Last Updated: Jun 27, 2014

Practice Location

Address: 5955 ZEAMER AVE
Address 2: 673RD MEDICAL GROUP
City: Jber
State: Alaska
ZIP Code: 99506-3702
Phone: (907) 384-0610

Authorized Official

Name: HECTOR MORALES
Title: CHIEF DHA PASS
Phone: (210) 221-8443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military/U.S. Coast Guard Pharmacy	332000000X	Primary

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