OrganizationActive
42nd Medical Group Sgsl
NPI 1255430302 · Military/U.S. Coast Guard Pharmacy · Maxwell Afb, AL
Provider details
- NPI number
- 1255430302
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Authorized official
- Hector Morales, Chief Dha Pass
Practice location
330 S Twining St Bldg 760
Maxwell Afb, AL 36112
Phone: (334) 953-6868
Mailing address
330 S Twining St Bldg 760
Maxwell Afb, AL 36112
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2016-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.