Organization
LACKLAND NCFC PHCY
Active
Parent organization
LACKLAND NCFC PHCY
Other names
LACKLAND NCFC PHCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
LACKLAND NCFC PHCY
Authorized official
HECTOR MORALES (MGR PHRMCY OPERATIONS CNTR)
(210) 221-8443
Entity
Organization
Contact information
Practice address
2200 BERGQUIST DR STE 1, BLDG 4450, LACKLAND A F B, TX 78236-9908
(210) 292-5410
(210) 292-3722
Mailing address
2200 BERGQUIST DR STE 1, BLDG 4450, LACKLAND A F B, TX 78236-9908
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4511805
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
06/22/2010
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