Organization
66TH MEDSQ-HANSCOM
Active
Parent organization
66TH MEDSQ-HANSCOM
Other names
DOD HANSCOM PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
66TH MEDSQ-HANSCOM
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
90 VANDENBERG DR BLDG 1900, HANSCOM AFB, MA 01731-2104
(781) 225-6173
(781) 225-2577
Mailing address
66 MDSS-SGSR C/O TRAVIS J. INGRODI, 90 VANDENBERG DR. BLDG 1900, HANSCOM AFB, MA 01731-2104
(781) 225-6173
(781) 225-2577
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146407
PK
—
Enumeration date
06/19/2014
Last updated
06/17/2025
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