99th Medical Group - Mike O'callaghan Federal Hospital

NPI #1891857363 in Las Vegas, Nevada

Provider Information

NPI Number
1891857363
Entity Type
Organization
Organization Name
99th Medical Group - Mike O'callaghan Federal Hospital
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Dec 14, 2006
Last Updated
Jan 11, 2016

Practice Location

Address
4700 LAS VEGAS BLVD N
Address 2
BLDG 1300
State
Nevada
ZIP Code
89191-6600
Phone
(702) 653-3205

Authorized Official

Name
HECTOR MORALES
Title
CHIEF DHA PASS
Phone
(210) 536-6650

Specialties & Taxonomy Codes

Specialty
Pharmacy
Military/U.S. Coast Guard Pharmacy

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