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Altus Phcy 97th Mdg — NPI 1336246180, Altus Afb, OK | NPI Central

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NPI 1336246180

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Altus Phcy 97th Mdg

NPI 1336246180 · Military/U.S. Coast Guard Pharmacy · Altus Afb, OK

Provider details

NPI number: 1336246180
Entity type: Organization
Primary specialty: Military/U.S. Coast Guard PharmacySuppliers
Organization subpart: No
Authorized official: Hector Morales, Chief Dha Pass(210) 536-6650

Specialties & taxonomies

Military/U.S. Coast Guard PharmacyPrimary332000000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

301 N 1st St

Altus Afb, OK 73523-5004

Phone: (580) 481-5258

Fax: (580) 481-7420

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

301 N 1st St

Altus Afb, OK 73523-5004

Other names (DBA / former)

Doing business as: Altus Phcy 97th Mdg

Registry dates

Enumerated: 2006-09-20
Last updated: 2017-02-27

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