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Organization

47TH MEDGRP-LAUGHLIN

Active
Parent organization
47TH MEDGRP-LAUGHLIN
Other names
DoD LAUGHLIN ePhcy
Organization subpart
Yes

Provider details

NPI number
Legal business name
47TH MEDGRP-LAUGHLIN
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization

Contact information

Practice address
590 MITCHELL BLVD BLDG 375, LAUGHLIN AFB, TX 78843-5242
(830) 298-6451
(830) 298-6511
Mailing address
47 MDSS-LAUGHLIN HOSPITAL, 350 MITCHELL BLVD. RM 338, LAUGHLIN AFB, TX 78843
(830) 298-6451
(830) 298-6511

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2146875
PK
Enumeration date
07/17/2014
Last updated
06/12/2025
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