# 355TH MEDGRP-DAVIS-MONTHAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 355TH MEDGRP-DAVIS-MONTHAN
- **Other names:** DOD DAVIS MONTHAN PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366856155
- **Legal business name:** 355TH MEDGRP-DAVIS-MONTHAN
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 5405 E GRANITE ST, BLDG \# 2527 ROOM \# 127, DAVIS MONTHAN AFB, AZ 85707-3004
- **Practice address phone:** (520) 228-1924
- **Practice address fax:** (520) 228-2853
- **Mailing address:** 355TH MEDICAL GROUP-DAVIS MONTHAN AFB HOSPITAL C/O STAF, 4175 S. ALAMO AVE., DM AFB, AZ 85707
- **Mailing address phone:** (520) 228-1924
- **Mailing address fax:** (520) 228-2853

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 06/13/2025