Organization · Type 2 NPI

59th Mdw-Whasc-Lackland

Military/U.S. Coast Guard Pharmacy · Lackland Afb, TX

NPI number 1063829414 Active

Practice location

2275 Reese St
Lackland Afb, TX 78236-1245

Call (210) 292-7970 Map

Fax (210) 292-7207

Mailing address

Wilford Hall Medical Center C/o 59 Mdw Cashier Cage, 2200 Berquist Dr. Ste. 1
Lackland Afb, TX 78236

Specialties and licenses

Taxonomy	Code	License
Military/U.S. Coast Guard Pharmacy Primary	332000000X	None listed

Military/U.S. Coast Guard Pharmacy: A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.

Another provider at this address

Willford Hall Medical CTRMilitary/U.S. Coast Guard Pharmacy Lackland Afb, TX NPI 1114026358

Other military/u.s. coast guard pharmacy providers in Lackland Afb

See all in Lackland Afb →

NPI record

NPI: 1063829414
Entity type: Organization (Type 2)
Issued: Jul 17, 2014
Last updated: Jun 13, 2025
Status: Active
Subpart: Yes of 59th Mdw-Whasc-Lackland

Other names

<unavail>
Dod Lackland Ephcy · doing business as
Dod Lackland Ephcy · doing business as

Authorized official

Hector Morales
Chief Dha Pass
(210) 536-6650

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063829414

59th Mdw-Whasc-Lackland's National Provider Identifier is 1063829414, issued on Jul 17, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Lackland Afb, TX. The record was last updated on Jun 13, 2025.