WILLFORD HALL MEDICAL CTR NPI 1114026358

NPI Information

  • NPI: 1114026358
  • Provider Name: WILLFORD HALL MEDICAL CTR
  • Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
  • Entity Type: Organization
  • Doing Business As: LACKLAND REFILL PHCY
  • Address: 2275 REESE ST
    BLDG 8410
    LACKLAND AFB, TX
    ZIP 78236
  • Phone: (210) 292-2217

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NPI Details

WILLFORD HALL MEDICAL CTR is a military us coast guard pharmacy in Lackland Afb, TX. The provider is a Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. WILLFORD HALL MEDICAL CTR NPI is 1114026358. The provider is registered as an organization entity type.
The provider Is Doing Business As Lackland Refill Phcy.

The provider's business location address is:

2275 REESE ST
BLDG 8410
LACKLAND AFB, TX
ZIP 78236-245
Phone: (210) 292-2217
Fax: (210) 292-3722

The provider's authorized official is Hector Morales .
The authorized official title is Chief Dha Pass and has the following contact phone number (210) 536-6650.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 7/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332000000XMilitary/U.S. Coast Guard PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12093035OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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