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Organization
23D MEDGRP-MOODY
Active
Organization
23D MEDGRP-MOODY
Active
Parent organization
23D MEDGRP-MOODY
Other names
DoD MOODY ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
23D MEDGRP-MOODY
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-3221
(229) 257-2345
Mailing address
23 RD MEDICAL GROUP, 3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-3221
(229) 257-2345
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
NULL
333600000X
Pharmacy
—
NULL
Other
Enumeration date
07/01/2014
Last updated
06/11/2025
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