Organization
436TH MEDGRP-DOVER
Active
Parent organization
436TH MEDGRP-DOVER
Other names
DOD DOVER PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
436TH MEDGRP-DOVER
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902-5003
(302) 677-2019
(302) 677-4030
Mailing address
436 MEDICAL GRP HEALTH CARE C/O DONALD COLE, 300 TUSKEGEE BLVD, DOVER, DE 19901
(302) 677-2019
(302) 677-4030
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145986
PK
—
Enumeration date
05/29/2014
Last updated
05/30/2025
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