Organization
36TH MEDGRP-MARIANAS GUAM
Active
Parent organization
36TH MEDGRP-MARIANAS GUAM
Other names
DOD ANDERSEN GUAM PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
36TH MEDGRP-MARIANAS GUAM
Authorized official
HECTOR MORALES (DHA POD)
(210) 536-6118
Entity
Organization
Contact information
Practice address
36TH MEDICAL SUPPORT SQUADRON, 26001, AGANA, GU 96910
(671) 366-5271
(671) 366-1229
Mailing address
ERMC UNIFORM BUSINESS OFFICE, CMR 402 BLDG 3700 ERMC UBO, AGANA, GU 96910
(671) 366-5271
(671) 366-1229
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145944
PK
—
Enumeration date
05/28/2014
Last updated
05/29/2025
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