Organization
2MDSS SGSB
Active
Other names
DoD BARKSDALE ePhcy
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 221-8443
Entity
Organization
Contact information
Practice address
243 CURTISS RD STE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-8483
(318) 456-7244
Mailing address
243 CURTISS RD, SUITE 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
—
2145974
PK
—
Enumeration date
06/02/2014
Last updated
06/02/2014
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