Organization
21 MEDICAL GROUP
Active
Other names
SCHRIEVER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
220 FALCON PKWY, SCHRIEVER AFB, CO 80912-5005
(719) 556-1109
(719) 556-1106
Mailing address
220 FALCON PKWY, SCHRIEVER AFB, CO 80912-5005
(719) 556-1109
(719) 556-1106
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003702
PK
—
Enumeration date
09/21/2006
Last updated
02/08/2016
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