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Organization

673RD MEDICAL GROUP JOINT BASE ELMENDORF-RICHARDSON

Active
Other names
DoD FT RICHARDSON ePhcy
Organization subpart
No

Provider details

NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 221-8443
Entity
Organization

Contact information

Practice address
5955 ZEAMER AVE, 673RD MEDICAL GROUP, JBER, AK 99506-3702
(907) 384-0610
(907) 384-8195
Mailing address
673RD MEDICAL GROUP JOINT BASE ELMENDORF-RICHARDSON, CO 673D MEDICAL GROUP SGSR 5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 384-0610
(907) 384-8195

Taxonomy

Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2146326
PK
Enumeration date
06/19/2014
Last updated
06/27/2014
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