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Organization
21ST MEDICAL GROUP
Active
Organization
21ST MEDICAL GROUP
Active
Other names
SCHRIEVER REFILL PCTR PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
220 FALCON PKWY BLDG 220, COLORADO SPRINGS, CO 80912-5005
(719) 567-4423
(719) 567-4817
Mailing address
21ST MEDICAL GROUP, C/O RMO OFFICE 559 VINCENT ST, PETERSON AFB, CO 80914-1541
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
NULL
Other
Enumeration date
05/14/2015
Last updated
01/15/2016
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