# 27TH SPECIAL OPS MEDGRP-CANNON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 27TH SPECIAL OPS MEDGRP-CANNON
- **Other names:** DoD CANNON ePhcy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417356072
- **Legal business name:** 27TH SPECIAL OPS MEDGRP-CANNON
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 224 WEST D. L. INGRAM BLVD, BLDG 1408, CANNON AFB, NM 88103-5103
- **Practice address phone:** (575) 784-4912
- **Practice address fax:** (575) 784-7494
- **Mailing address:** 27TH MEDICAL GROUP SGSL, 208 W. D.L. INGRAM BLVD. 1ST FLOOR, CANNON AFB, NM 88103
- **Mailing address phone:** (575) 784-4028
- **Mailing address fax:** (575) 784-7494

## Taxonomy

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

## Other

- **Enumeration date:** 08/20/2014
- **Last updated:** 09/02/2025