21st Medgrp-Peterson
NPI #1932514171 in Peterson Afb, Colorado
Provider Information
- NPI Number
- 1932514171
- Entity Type
- Organization
- Organization Name
- 21st Medgrp-Peterson
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 21ST MEDGRP-PETERSON
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Jun 26, 2014
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- 110 W ENT AVE
- City
- Peterson Afb
- State
- Colorado
- ZIP Code
- 80914-1595
- Phone
- (719) 556-0865
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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