NPI 1790190940
375th Medgrp-Scott
Practice location
- Address
- 310 W Losey St, Scott Afb, IL 62225-5250
- Phone
- (618) 256-7335
- Fax
- (618) 256-7133
- Mailing address
- 375th Medical Group Scott Afb 310 W. Losey St., Scott Afb, IL 62225-5250
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
- 1790190940
- Entity type
- Organization
- NPI issued
- 26 Jun 2014
- Record last updated
- 29 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.