Organization
316TH MEDGRP-MALCOLM GROW
Active
Parent organization
316TH MEDGRP-MALCOLM GROW
Other names
DoD ANDREWS ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
316TH MEDGRP-MALCOLM GROW
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
1030 W PERIMETER RD, JOINT BASE ANDREWS, MD 20762-6602
(240) 612-2139
(240) 612-3981
Mailing address
MALCOLM GROW MEDICAL CENTER, 1030 W. PERIMETER RD FB14 C/O RMO OFFICE, ANDREWS AFB, MD 20762-6600
(240) 857-4566
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145938
PK
—
Enumeration date
05/28/2014
Last updated
03/05/2026
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