Organization
88TH MEDGRP-WRIGHT-PATTERSON
Active
Parent organization
88TH MEDGRP-WRIGHT-PATTERSON
Other names
DOD WRIGHT PATTERSON KITTYHAWK PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
88TH MEDGRP-WRIGHT-PATTERSON
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
2130 SYCAMORE ST STE 1, WRIGHT PATTERSON AFB, OH 45433-5461
(937) 656-1656
(937) 656-1136
Mailing address
WRIGHT-PATTERSON MEDICAL CENTER, 4881 SUGAR MAPLE DR., WRIGHT PAT, OH 45433-5546
(937) 656-1656
(937) 656-1516
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147095
PK
—
Enumeration date
07/31/2014
Last updated
03/12/2025
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