# 15TH MEDGRP JBHP-HICKAM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 15TH MEDGRP JBHP-HICKAM
- **Other names:** DoD HICKAM ePhcy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629482062
- **Legal business name:** 15TH MEDGRP JBHP-HICKAM
- **Authorized official:** HECTOR MORALES (DHA POD)
- **Authorized official phone:** (210) 536-6118

## Contact information

- **Practice address:** 755 SCOTT CIR, HICKAM AFB, HI 96853-5399
- **Practice address phone:** (808) 448-6261
- **Practice address fax:** (808) 448-6740
- **Mailing address:** 15TH MEDGRP JBHP-HICKAM, 755 SCOTT CIRCLE, HICKAM, HI 96853
- **Mailing address phone:** (808) 448-6261
- **Mailing address fax:** (808) 448-6740

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2014
- **Last updated:** 05/29/2025