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Organization

9TH MEDGRP-BEALE

Active
Parent organization
9TH MEDGRP-BEALE
Other names
DoD BEALE ePhcy
Organization subpart
Yes

Provider details

NPI number
Legal business name
9TH MEDGRP-BEALE
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization

Contact information

Practice address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1907
(530) 634-2337
(530) 634-4653
Mailing address
9TH MEDICAL GROUP, 15301 WARREN SHINGLE RD., BEALE AFB, CA 95903-1907
(530) 634-2337
(530) 634-4653

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2147334
PK
Enumeration date
08/15/2014
Last updated
06/12/2025
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