OrganizationActive
30th Medgrp-Vandenberg
NPI 1043626419 · Military/U.S. Coast Guard Pharmacy · Vandenberg Afb, CA
Provider details
- NPI number
- 1043626419
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- 30th Medgrp-Vandenberg
- Authorized official
- Hector Morales, Chief Dha Pass
Practice location
338 S Dakota Ave Bldg 13850
Vandenberg Afb, CA 93437-6307
Phone: (805) 606-7440
Fax: (805) 605-8380
Mailing address
30th Medical Group
Vandenberg Afb, CA 93437-6307
Registry dates
- Enumerated
- 2014-07-07
- Last updated
- 2025-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.