# 377TH MEDGRP-KIRTLAND

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 377TH MEDGRP-KIRTLAND
- **Other names:** DOD KIRTLAND PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740694553
- **Legal business name:** 377TH MEDGRP-KIRTLAND
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 1501 SAN PEDRO DR SE BLDG 47, ALBUQUERQUE, NM 87108-5153
- **Practice address phone:** (505) 846-7775
- **Practice address fax:** (505) 846-3137
- **Mailing address:** 377 TH MEDICAL GROUP, 2050A SECOND ST. SE, KIRTLAND AFB, NM 87117-0001
- **Mailing address phone:** (505) 846-7775
- **Mailing address fax:** (505) 846-3137

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 06/13/2025