NPI 1740692433
436th Medgrp-Dover
Practice location
- Address
- 300 Tuskegee Blvd, Dover Afb, DE 19902-5003
- Phone
- (302) 677-2019
- Fax
- (302) 677-4030
- Mailing address
- 436 Medical Grp Health Care C/O Donald Cole 300 Tuskegee Blvd, Dover, DE 19901
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
- 1740692433
- Entity type
- Organization
- NPI issued
- 29 May 2014
- Record last updated
- 30 May 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.