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Organization

319TH MEDGRP-GRAND FORKS

Active
Parent organization
319TH MEDGRP-GRAND FORKS
Other names
DOD GRAND FORKS PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
319TH MEDGRP-GRAND FORKS
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization

Contact information

Practice address
1599 J ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-5382
(701) 747-5384
Mailing address
319TH MEDICAL GROUP, 3RD PARTY COLLECTIONS 1599 J. STREET, GRAND FORKS AB, ND 58205-6306
(701) 747-5382
(701) 747-5384

Taxonomy

Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2146293
PK
Enumeration date
06/30/2014
Last updated
05/29/2025
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