355TH MEDICAL GROUP-DAVIS MONTHAN AFB HOSPITAL NPI 1366856155

NPI Information

355TH MEDICAL GROUP-DAVIS MONTHAN AFB HOSPITAL is a military us coast guard pharmacy in Davis Monthan Afb, AZ. 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. 355TH MEDICAL GROUP-DAVIS MONTHAN AFB HOSPITAL NPI is 1366856155. The provider is registered as an organization entity type.
The provider Is Doing Business As Dod Davis Monthan Pharmacy.

The provider's business location address is:

5405 E GRANITE ST
BLDG # 2527 ROOM # 127
DAVIS MONTHAN AFB, AZ
ZIP 85707-004
Phone: (520) 228-1924
Fax: (520) 228-2853

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 6/19/2014 and was last updated on 11/20/2023.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.