NPI 1306160973
359th Mdg
Practice location
- Address
- 630 3rd St W Bldg 1068, Randolph Afb, TX 78150-4804
- Phone
- (210) 652-6742
- Fax
- (210) 652-3516
- Mailing address
- 221 3rd St W Bldg 1040, Randolph Afb, TX 78150-4800
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
- 1306160973
- Entity type
- Organization
- NPI issued
- 25 Mar 2010
- Record last updated
- 24 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.