NPI 1548673163
412th Medgrp-Edwards
Practice location
- Address
- 30 Nightingale Rd Bldg 5525, Edwards Afb, CA 93524-1730
- Phone
- (661) 277-2052
- Fax
- (661) 277-8284
- Mailing address
- 95 Th Medical Group Sgsr 30 Nightingale Rd. Bldg 5525, Edwards Afb, CA 93524-0001
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
- 1548673163
- Entity type
- Organization
- NPI issued
- 11 Jun 2014
- Record last updated
- 12 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.