Organization · Type 2 NPI

355th Medgrp-Davis-Monthan

Military/U.S. Coast Guard Pharmacy · Davis Monthan Afb, AZ

NPI number 1366856155 Active

Practice location

5405 E Granite St, Bldg # 2527 Room # 127
Davis Monthan Afb, AZ 85707-3004

Call (520) 228-1924 Map

Fax (520) 228-2853

Mailing address

355th Medical Group-Davis Monthan Afb Hospital C/o Staf, 4175 S. Alamo Ave.
Dm Afb, AZ 85707

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.

5 other providers at this address

NPI record

NPI: 1366856155
Entity type: Organization (Type 2)
Issued: Jun 19, 2014
Last updated: Jun 13, 2025
Status: Active
Subpart: Yes of 355th Medgrp-Davis-Monthan

Other names

<unavail>
Dod Davis Monthan Pharmacy · 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 1366856155

355th Medgrp-Davis-Monthan's National Provider Identifier is 1366856155, issued on Jun 19, 2014. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Davis Monthan Afb, AZ. The record was last updated on Jun 13, 2025.