Organization
2D MEDGRP-BARKSDALE
Active
Parent organization
2D MEDGRP-BARKSDALE
Other names
BARKSDALE REFILL PHCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
2D MEDGRP-BARKSDALE
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
BLDG 4709, BARKSDALE AFB, LA 71110
(318) 456-8348
(318) 456-7244
Mailing address
2MDSS SGSB, 243 CURTISS RD STE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-8483
(318) 456-7244
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034575
PK
—
Enumeration date
09/21/2006
Last updated
06/12/2025
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