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Organization

341ST MEDICAL GROUP

Active
Other names
MALSTROM REFILL PHCY
Organization subpart
No

Provider details

NPI number
Authorized official
HECTOR MORALES (DEPUTY DIRECTOR PHCY OPS CTR)
(210) 221-8443
Entity
Organization

Contact information

Practice address
341 MDG/MDSS/SGSA 7300 N PERIMETER RD, BLDG 2040, MALSTROM AFB, MT 59402
(406) 731-2468
Mailing address
341 MDG/MDSS/SGSA 7300 N PERIMETER RD, BLDG 2040, MALSTROM AFB, MT 59402
(406) 731-2468

Taxonomy

Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2140376
PK
Enumeration date
05/15/2013
Last updated
05/16/2013
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