Organization
341ST MEDICAL GROUP
Active
Other names
MALMSTROM PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-2900
(406) 731-4364
Mailing address
341ST MEDICAL GROUP-UNITED STATES AIR FORCE, 7300 N PERIMETER RD, MALMSTROM AFB, MT 59402
(406) 731-2900
(406) 731-4364
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052032
PK
—
Enumeration date
09/20/2006
Last updated
06/27/2015
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