# 92D MEDGRP-FAIRCHILD

> 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:** 92D MEDGRP-FAIRCHILD
- **Other names:** DOD FAIRCHILD PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477652519
- **Legal business name:** 92D MEDGRP-FAIRCHILD
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 701 HOSPITAL LOOP \# 135, FAIRCHILD AFB, WA 99011-8704
- **Practice address phone:** (509) 247-5567
- **Mailing address:** 92ND MEDICAL GROUP, RMO OFFICE 3RD PARTY COLLECTIONS 701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
- **Mailing address phone:** (509) 247-5567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332000000X | Military/U.S. Coast Guard Pharmacy | 910569870 | WA | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 06/13/2025