NPI 1568878676
45th Medgrp-Patrick
Practice location
- Address
- 1381 S Patrick Dr, Patrick Afb, FL 32925-3606
- Phone
- (321) 494-3988
- Fax
- (321) 494-7117
- Mailing address
- 45th Medical Group-Sgam 1381 S. Patrick Dr., Patrick Afb, FL 32925-3606
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
- 1568878676
- Entity type
- Organization
- NPI issued
- 9 Jul 2014
- Record last updated
- 11 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.