Organization
59TH MDW-WHASC-LACKLAND
Active
Parent organization
59TH MDW-WHASC-LACKLAND
Other names
DoD LACKLAND ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
59TH MDW-WHASC-LACKLAND
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
2275 REESE ST, LACKLAND AFB, TX 78236-1245
(210) 292-7970
(210) 292-7207
Mailing address
WILFORD HALL MEDICAL CENTER C/O 59 MDW CASHIER CAGE, 2200 BERQUIST DR. STE. 1, LACKLAND AFB, TX 78236
(210) 292-7970
(210) 292-7207
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146874
PK
—
Enumeration date
07/17/2014
Last updated
06/13/2025
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