OrganizationActive
17th Medgrp-Goodfellow
NPI 1346654175 · Military/U.S. Coast Guard Pharmacy · Goodfellow Afb, TX
Provider details
- NPI number
- 1346654175
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- 17th Medgrp-Goodfellow
- Authorized official
- Hector Morales, Chief Dha Pass
Practice location
271 Fort Richardson Ave
Goodfellow Afb, TX 76908-4901
Phone: (325) 654-3101
Fax: (325) 654-5898
Mailing address
17 Medical Group
Goodfellow Afb, TX 76908
Registry dates
- Enumerated
- 2014-06-19
- 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.