42ND MEDICAL GROUP SGSL

MAXWELL AFB, AL
NPI1497854566
Doing Business AsMAXWELL GUNTER PHCY
Entity TypeOrganization
Authorized ContactHECTOR MORALES
Chief Dha Pass
210-536-6650
Organization Subpart ?No
Primary Taxonomy332000000X MilitaryU.S. Coast Guard Pharmacy
Additional Taxonomies333600000X Pharmacy
Enumeration Date2006-09-22
Last Update Date2016-02-09
Business Address
42ND MEDICAL GROUP SGSL
BLDG 810 GUNTER ANNEX
MAXWELL AFB, AL 36112
Phone number: 334-416-5455
Mailing Address
42ND MEDICAL GROUP SGSL
BLDG 810 GUNTER ANNEX
MAXWELL AFB, AL 36112
Phone number: 334-416-5455