Organization
355TH MEDGRP-DAVIS-MONTHAN
Active
Parent organization
355TH MEDGRP-DAVIS-MONTHAN
Other names
DOD DAVIS MONTHAN PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
355TH MEDGRP-DAVIS-MONTHAN
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
5405 E GRANITE ST, BLDG # 2527 ROOM # 127, DAVIS MONTHAN AFB, AZ 85707-3004
(520) 228-1924
(520) 228-2853
Mailing address
355TH MEDICAL GROUP-DAVIS MONTHAN AFB HOSPITAL C/O STAF, 4175 S. ALAMO AVE., DM AFB, AZ 85707
(520) 228-1924
(520) 228-2853
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146402
PK
—
Enumeration date
06/19/2014
Last updated
06/13/2025
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