NPI 1114332368
628th Medgrp-Charleston
Practice location
- Address
- 204 W Hill Blvd Bldg 364, Charleston Afb, SC 29404-4704
- Phone
- (843) 963-6805
- Fax
- (843) 963-6727
- Mailing address
- 628 Medical Group C/O Rmo Office 204 W. Hill Blvd. Bldg 364, Charleston Afb, SC 29404-4704
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
- 1114332368
- Entity type
- Organization
- NPI issued
- 26 Jun 2014
- Record last updated
- 30 May 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.