Organization
59TH MDW-WHASC-LACKLAND
Active
Parent organization
59TH MDW-WHASC-LACKLAND
Other names
DOD REID ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
59TH MDW-WHASC-LACKLAND
Authorized official
CYNTHIA DE LA CRUZ (MTF SUPPORT)
(210) 536-6650
Entity
Organization
Contact information
Practice address
1940 CARSWELL AVE, BLDG 7002, LACKLAND, TX 78236
(210) 671-9637
(210) 671-6486
Mailing address
1940 CARSWELL AVE, BLDG 7002, LACKLAND, TX 78236
(210) 671-9637
(210) 671-6486
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/13/2025
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