NPI 1083012223
96th Medgrp-Eglin
Practice location
- Address
- 4315 El Salvador Way Building 4315, Eglin Afb, FL 32542-1711
- Phone
- (850) 885-7554
- Fax
- (850) 885-9977
- Mailing address
- 307 Boatner Rd STE 114, Eglin Afb, FL 32542-1302
Authorised official
- Name
- Hector Morales
- Title
- Chief Dha Pass
- Phone
- (210) 536-6650
Registered specialties
Military/U.S. Coast Guard Pharmacy
Primary
Registry record
- NPI
- 1083012223
- Entity type
- Organization
- NPI issued
- 19 Dec 2014
- Record last updated
- 11 Jun 2025
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.