Organization
59TH MDW-WHASC-LACKLAND
Active
Parent organization
59TH MDW-WHASC-LACKLAND
Other names
DoD BULVERDE ePHCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
59TH MDW-WHASC-LACKLAND
Authorized official
HECTOR MORALES (CHIEF OF THE PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
25615 NORTH 281, SUITE 215, SAN ANTONIO, TX 78258
(210) 292-7970
(210) 292-8000
Mailing address
25615 NORTH 281, SUITE 215, SAN ANTONIO, TX 78258
(210) 292-0121
(210) 292-8000
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175752
PK
—
Enumeration date
01/30/2018
Last updated
06/13/2025
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