OrganizationActive
377th Medgrp-Kirtland
NPI 1740694553 · Military/U.S. Coast Guard Pharmacy · Albuquerque, NM
Provider details
- NPI number
- 1740694553
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- 377th Medgrp-Kirtland
- Authorized official
- Hector Morales, Chief Dha Pass
Practice location
1501 San Pedro Dr Se Bldg 47
Albuquerque, NM 87108-5153
Phone: (505) 846-7775
Fax: (505) 846-3137
Mailing address
377 Th Medical Group
Kirtland Afb, NM 87117-0001
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.