OrganizationActive
21st Medical Group
NPI 1548369259 · Military/U.S. Coast Guard Pharmacy · Peterson Afb, CO
Provider details
- NPI number
- 1548369259
- 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
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
559 Vincent St
Peterson Afb, CO 80914-1541
Phone: (719) 333-2273
Fax: (719) 556-1106
Approximate (ZIP-level) locationGet directions
Mailing address
559 Vincent St
Peterson Afb, CO 80914-1541
Other names (DBA / former)
- Doing business as
- Peterson Pharmacy
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2016-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.