NPI 1003915430

55th Medical Group Sgsl

Organisation Military/U.S. Coast Guard Pharmacy Offutt, NE

Practice location

Address: Bldg 107 Rm 101, Offutt, NE 68113
Phone: (402) 294-3221
Fax: (402) 294-3228

Authorised official

Name: Hector Morales
Title: Chief Dha Pass
Phone: (210) 536-6650

Registered specialties (2)

Military/U.S. Coast Guard Pharmacy Primary

Suppliers Taxonomy 332000000X

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Pharmacy

Suppliers Taxonomy 333600000X

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Registry record

NPI: 1003915430
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 8 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.