59th Mdw-Whasc-Lackland

NPI #1861800567 in Randolph Afb, Texas

Provider Information

NPI Number
1861800567
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
Jul 25, 2014
Last Updated
Jul 28, 2025

Practice Location

Address
221 3RD ST W BLDG 1040
State
Texas
ZIP Code
78150-4800
Phone
(210) 652-4189

Authorized Official

Name
HECTOR MORALES
Title
DHA POD
Phone
(210) 536-6118

Specialties & Taxonomy Codes

Specialty
Military/U.S. Coast Guard Pharmacy

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