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Organization
1ST SPCL OPS MEDGRP-HURLBURT
Active
Organization
1ST SPCL OPS MEDGRP-HURLBURT
Active
Parent organization
1ST SPCL OPS MEDGRP-HURLBURT
Other names
DoD HURLBURT ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
1ST SPCL OPS MEDGRP-HURLBURT
Authorized official
HECTOR MORALES (CHEIF DHA PASS)
(210) 221-8334
Entity
Organization
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-3919
(850) 881-4736
Mailing address
113 LIELMANIS AVE, RESOURCE MANAGER, HURLBURT FIELD, FL 32544-5613
(850) 881-3919
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149130
PK
—
Enumeration date
12/26/2014
Last updated
06/12/2025
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