# 354TH MEDGRP-EIELSON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 354TH MEDGRP-EIELSON
- **Other names:** DOD EIELSON PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902218415
- **Legal business name:** 354TH MEDGRP-EIELSON
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 2630 CENTRAL AVE STE 1M07, EIELSON AFB, AK 99702-2325
- **Practice address phone:** (907) 377-1462
- **Practice address fax:** (907) 377-4105
- **Mailing address:** 354 MDG, 2630 CENTAL AVE STE 1M07, EIELSON AFB, AK 99702-2325
- **Mailing address phone:** (907) 377-1462
- **Mailing address fax:** (907) 377-4105

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2014
- **Last updated:** 06/12/2025