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509th Medgrp-Whiteman — NPI 1225444334, Whiteman Afb, MO | NPI Central

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NPI 1225444334

OrganizationActive

509th Medgrp-Whiteman

NPI 1225444334 · Military/U.S. Coast Guard Pharmacy · Whiteman Afb, MO

Provider details

NPI number: 1225444334
Entity type: Organization
Primary specialty: Military/U.S. Coast Guard PharmacySuppliers
Parent organization: 509th Medgrp-Whiteman
Organization subpart: Yes
Authorized official: Hector Morales, Chief Dha Pass(210) 536-6650

Specialties & taxonomies

Military/U.S. Coast Guard PharmacyPrimary332000000X
Suppliers

Practice location

331 Sijen Ave

Whiteman Afb, MO 65305-1269

Phone: (660) 687-1774

Fax: (660) 687-1878

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

509th Medical Group-Sgsr

Whiteman Afb, MO 65305

Other names (DBA / former)

Doing business as: Dod Whiteman Ephcy

Registry dates

Enumerated: 2014-07-09
Last updated: 2025-05-29
Certified: 2025-05-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.