# 49TH MEDGRP-HOLLOMAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 49TH MEDGRP-HOLLOMAN
- **Other names:** DoD HOLLOMAN ePhcy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356755185
- **Legal business name:** 49TH MEDGRP-HOLLOMAN
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 280 1ST ST BLDG 15, HOLLOMAN AFB, NM 88330-8273
- **Practice address phone:** (575) 572-0524
- **Practice address fax:** (575) 572-5781
- **Mailing address:** 49TH MEDICAL GROUP BALDWIN HERMAN S II, 280 1ST STREET, HOLLOMAN AFB, NM 88330-8273
- **Mailing address phone:** (575) 572-0524
- **Mailing address fax:** (575) 572-5781

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 07/03/2025