# 62ND MED GRP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 62ND MED GRP
- **Other names:** MCCHORD MAIN PHCY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366541401
- **Legal business name:** 62ND MED GRP
- **Authorized official:** HECTOR MORALES (MGR PHRMCY OPERATIONS CNTR)
- **Authorized official phone:** (210) 221-8443

## Contact information

- **Practice address:** 690 BARNES BLVD, MCCHORD AFB, WA 98438-1303
- **Practice address phone:** (253) 982-2474
- **Practice address fax:** (253) 982-8401
- **Mailing address:** 690 BARNES BLVD, MCCHORD AFB, WA 98438-1303

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 09/01/2009