OrganizationActive
27th Special Ops Medgrp-Cannon
NPI 1417356072 · Military/U.S. Coast Guard Pharmacy · Cannon Afb, NM
Provider details
- NPI number
- 1417356072
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- 27th Special Ops Medgrp-Cannon
- Authorized official
- Hector Morales, Chief Dha Pass
Practice location
224 West D. L. Ingram Blvd
Bldg 1408
Cannon Afb, NM 88103-5103
Phone: (575) 784-4912
Fax: (575) 784-7494
Mailing address
27th Medical Group Sgsl
Cannon Afb, NM 88103
Registry dates
- Enumerated
- 2014-08-20
- Last updated
- 2025-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.