Organization
673D MEDGRP-JBER ELMNDRF-RICH
Active
Parent organization
673D MEDGRP-JBER ELMNDRF-RICH
Other names
DOD JB ELMENDORF RICH PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
673D MEDGRP-JBER ELMNDRF-RICH
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
5800 WESTOVER AVE, JBER, AK 99506-1603
(907) 580-5526
(907) 580-1176
Mailing address
673RD MEDICAL GROUP JOINT BASE ELMENDORF-RICHARDSON JBE, 5955 ZEAMER AVE., JOINT BASE ELMENDORF-RICHARDSON, AK 99506-3702
(907) 580-5526
(907) 580-1176
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146158
PK
—
Enumeration date
06/09/2014
Last updated
06/13/2025
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