Organization
509TH MEDGRP-WHITEMAN
Active
Parent organization
509TH MEDGRP-WHITEMAN
Other names
DoD WHITEMAN ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
509TH MEDGRP-WHITEMAN
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305-1269
(660) 687-1774
(660) 687-1878
Mailing address
509TH MEDICAL GROUP-SGSR, 331 SIJAN AVE., WHITEMAN AFB, MO 65305
(660) 687-1774
(660) 687-1878
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146751
PK
—
Enumeration date
07/09/2014
Last updated
05/29/2025
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