NPI 1255430302
42nd Medical Group Sgsl
Practice location
- Address
- 330 S Twining St Bldg 760, Maxwell Afb, AL 36112
- Phone
- (334) 953-6868
Authorised official
- Name
- Hector Morales
- Title
- Chief Dha Pass
- Phone
- (210) 536-6650
Registered specialties (2)
Military/U.S. Coast Guard Pharmacy
Primary
Registry record
- NPI
- 1255430302
- Entity type
- Organization
- NPI issued
- 22 Sep 2006
- Record last updated
- 5 Oct 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.