# 509TH MEDGRP-WHITEMAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 509TH MEDGRP-WHITEMAN
- **Other names:** DoD WHITEMAN ePhcy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225444334
- **Legal business name:** 509TH MEDGRP-WHITEMAN
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
- **Practice address phone:** (660) 687-1774
- **Practice address fax:** (660) 687-1878
- **Mailing address:** 509TH MEDICAL GROUP-SGSR, 331 SIJAN AVE., WHITEMAN AFB, MO 65305
- **Mailing address phone:** (660) 687-1774
- **Mailing address fax:** (660) 687-1878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332000000X | Military/U.S. Coast Guard Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 05/29/2025