Organization
56TH MEDGRP-LUKE
Active
Parent organization
56TH MEDGRP-LUKE
Other names
DoD LUKE ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
56TH MEDGRP-LUKE
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
7219 N LITCHFIELD RD BLDG 1130, LUKE AFB, AZ 85309-1529
(623) 856-3934
(623) 856-3616
Mailing address
56TH MEDICAL GROUP C/O JAME MITCHELL, 7219 N. LITCHFIELD RD., LUKE AFB, AZ 85309
(623) 856-3934
(623) 856-3616
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146879
PK
—
Enumeration date
07/16/2014
Last updated
06/13/2025
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