Organization
87TH MEDGRP-JB MCGUIRE-DIX-LAKEHURST
Active
Parent organization
87TH MEDGRP-JB MCGUIRE-DIX-LAKEHURST
Other names
DoD MCGUIRE ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
87TH MEDGRP-JB MCGUIRE-DIX-LAKEHURST
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
3458 NEELY RD, JOINT BASE MDL, NJ 08641-5312
(609) 754-9464
(609) 754-9133
Mailing address
87TH MEDICAL GROUP C/O RESOURCE MANAGEMENT OFFICE, 3548 NEELY RD., JOINT BASE MDL, NJ 08641
(609) 754-9464
(609) 754-9133
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146901
PK
—
Enumeration date
07/17/2014
Last updated
06/12/2025
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