Organization
WILLFORD HALL MEDICAL CTR
Active
Other names
LACKLAND REFILL PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
2275 REESE ST, BLDG 8410, LACKLAND AFB, TX 78236-1245
(210) 292-2217
(210) 292-3722
Mailing address
2200 BERGQUIST DR STE 1, BLDG 8410, LACKLAND AFB, TX 78236-9908
(210) 292-2217
(210) 292-3722
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093035
PK
—
Enumeration date
09/22/2006
Last updated
07/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us