Organization
15TH MEDGRP JBHP-HICKAM
Active
Parent organization
15TH MEDGRP JBHP-HICKAM
Other names
DoD HICKAM ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
15TH MEDGRP JBHP-HICKAM
Authorized official
HECTOR MORALES (DHA POD)
(210) 536-6118
Entity
Organization
Contact information
Practice address
755 SCOTT CIR, HICKAM AFB, HI 96853-5399
(808) 448-6261
(808) 448-6740
Mailing address
15TH MEDGRP JBHP-HICKAM, 755 SCOTT CIRCLE, HICKAM, HI 96853
(808) 448-6261
(808) 448-6740
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146307
PK
—
Enumeration date
06/13/2014
Last updated
05/29/2025
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