# 21ST MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SCHRIEVER REFILL PCTR PHCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285012922
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 220 FALCON PKWY BLDG 220, COLORADO SPRINGS, CO 80912-5005
- **Practice address phone:** (719) 567-4423
- **Practice address fax:** (719) 567-4817
- **Mailing address:** 21ST MEDICAL GROUP, C/O RMO OFFICE 559 VINCENT ST, PETERSON AFB, CO 80914-1541

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 01/15/2016