<Unavail>

LBN: 355Th Medgrp-Davis-Monthan
<Unavail> is an health care organization with primary practice located at 5405 E Granite St Bldg # 2527 Room # 127, Davis Monthan Afb AZ 85707-3004. The organization recently has only one registered license in Suppliers / Military/U.S. Coast Guard Pharmacy, which is considered as the primary health care specialty. 355Th Medgrp-Davis-Monthan can be contacted via phone (520) 228-1924, or through Morales, Hector via phone (210) 536-6650.

Contact Information

Primary practice address
5405 E Granite St Bldg # 2527 Room # 127 Davis Monthan Afb AZ 85707-3004
Phone: (520) 228-1924
Fax: (520) 228-2853
Website:
Map and Directions
Authorized official contact:
Name: Morales, Hector
Phone: (210) 536-6650

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1366856155
LBN Legal business name 355Th Medgrp-Davis-Monthan
DBA Doing business as <Unavail>
Authorized official Morales, Hector
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 19th, 2014
Last updated Jun 13th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366856155 NPPES
Other 2146402 PK

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