NPI 1861800567
59th Mdw-Whasc-Lackland
Practice location
- Address
- 221 3rd St W Bldg 1040, Randolph Afb, TX 78150-4800
- Phone
- (210) 652-4189
- Fax
- (210) 652-3516
- Mailing address
- 359 Medical Group C/O 359 Mdss Resource Management Offi 221 3rd St. W, Randolph Afb, TX 78150
Authorised official
- Name
- Hector Morales
- Title
- Dha Pod
- Phone
- (210) 536-6118
Registered specialties
Military/U.S. Coast Guard Pharmacy
Primary
Registry record
- NPI
- 1861800567
- Entity type
- Organization
- NPI issued
- 25 Jul 2014
- Record last updated
- 28 Jul 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.