Whalio Doctors

NPI 1497854566

42nd Medical Group Sgsl

Organisation Military/U.S. Coast Guard Pharmacy Maxwell Afb, AL

Practice location

Address
Bldg 810 Gunter Annex, Maxwell Afb, AL 36112
Phone
(334) 416-5455
Fax
(334) 953-1505

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
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1497854566
Entity type
Organization
NPI issued
22 Sep 2006
Record last updated
9 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.