OrganizationActive
21st Medgrp-Peterson
NPI 1487069621 · Military/U.S. Coast Guard Pharmacy · Schriever Afb, CO
Provider details
- NPI number
- 1487069621
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- 21st Medgrp-Peterson
- Authorized official
- Hector Morales, Chief Dha Pass
Practice location
220 Falcon Pkwy
Schriever Afb, CO 80912-5005
Phone: (719) 567-4423
Fax: (719) 567-4817
Mailing address
21st Medical Group C/O Rmo Office
Peterson Afb, CO 80914-1541
Registry dates
- Enumerated
- 2014-06-26
- 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.