Organization
633D MEDGRP-JB LANGLEY
Active
Parent organization
633D MEDGRP-JB LANGLEY
Other names
DOD LANGLEY PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
633D MEDGRP-JB LANGLEY
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 764-0770
(757) 764-2395
Mailing address
633 MEDICAL GROUP, 77 NEALY AVE., LANGLEY AFB, VA 23665-2040
(757) 764-0770
(757) 764-2395
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146754
PK
—
Enumeration date
07/09/2014
Last updated
06/17/2025
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