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Organization

60TH MEDGRP-TRAVIS

Active
Parent organization
60TH MEDGRP-TRAVIS
Other names
MONTEREY MD PHCY
Organization subpart
Yes

Provider details

NPI number
Legal business name
60TH MEDGRP-TRAVIS
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization

Contact information

Practice address
473 CABRILLO ST, A-102, MONTEREY, CA 93944-3201
(831) 242-5382
(831) 242-5809
Mailing address
473 CABRILLO ST, A-102, MONTEREY, CA 93944-3201
(831) 242-5382
(831) 242-5809

Taxonomy

Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
333600000X
Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2124903
PK
Enumeration date
04/27/2010
Last updated
03/12/2025
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