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Organization
49TH MEDGRP-HOLLOMAN
Active
Organization
49TH MEDGRP-HOLLOMAN
Active
Parent organization
49TH MEDGRP-HOLLOMAN
Other names
DoD HOLLOMAN ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
49TH MEDGRP-HOLLOMAN
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
280 1ST ST BLDG 15, HOLLOMAN AFB, NM 88330-8273
(575) 572-0524
(575) 572-5781
Mailing address
49TH MEDICAL GROUP BALDWIN HERMAN S II, 280 1ST STREET, HOLLOMAN AFB, NM 88330-8273
(575) 572-0524
(575) 572-5781
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
NULL
Other
Enumeration date
06/19/2014
Last updated
07/03/2025
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