Organization
3RD MEDICAL SUPPORT SQUADRON SGSL
Active
Other names
ELMENDORF PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506-3702
(907) 580-1175
(907) 580-1176
Mailing address
5955 ZEAMER AVE, ELMENDORF AFB, AK 99506-3702
(907) 580-1175
(907) 580-1176
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996975
PK
—
Enumeration date
09/22/2006
Last updated
06/15/2015
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