NPI 1962818336
71st Medgrp-Vance
Practice location
- Address
- 527 Gott Rd, Enid, OK 73705-5103
- Phone
- (580) 213-7455
- Fax
- (580) 213-2169
- Mailing address
- 71 Mdg Mdss Sgsr C/O 71 Mdg Mdss Sgsr 527 Gott Rd, Enid, OK 73705
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
- 1962818336
- Entity type
- Organization
- NPI issued
- 7 Jul 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.