NPI 1740694553
377th Medgrp-Kirtland
Practice location
- Address
- 1501 San Pedro Dr SE Bldg 47, Albuquerque, NM 87108-5153
- Phone
- (505) 846-7775
- Fax
- (505) 846-3137
- Mailing address
- 377 Th Medical Group 2050a Second St. SE, Kirtland Afb, NM 87117-0001
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
- 1740694553
- Entity type
- Organization
- NPI issued
- 19 Jun 2014
- Record last updated
- 13 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.