Organization
6TH MEDGRP-MACDILL
Active
Parent organization
6TH MEDGRP-MACDILL
Other names
MACDILL SABAL PARK PHCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
6TH MEDGRP-MACDILL
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
9208 KING PALM DR, TAMPA, FL 33619-1328
(813) 828-2273
Mailing address
9208 KING PALM DR, TAMPA, FL 33619-1328
(813) 828-2273
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013075
PK
—
Enumeration date
09/21/2006
Last updated
06/11/2025
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