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Organization

81ST MEDGRP-KEESLER

Active
Parent organization
81ST MEDGRP-KEESLER
Other names
DoD KEESLER ePhcy
Organization subpart
Yes

Provider details

NPI number
Legal business name
81ST MEDGRP-KEESLER
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization

Contact information

Practice address
506 LARCHER BLVD STE B, KEESLER AFB, MS 39534-2342
(228) 377-6585
(228) 376-0058
Mailing address
DEPARTMENT OF AIR FORCE 81ST MEDICAL GROUP, 301 FISHER ST. STE 104, KEESLER AFB, MS 39534-2517
(228) 376-0058
(228) 377-6582

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2146417
PK
Enumeration date
06/19/2014
Last updated
06/12/2025
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