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NPI Code Detail

MEDICARE: 6TH MEDGRP-MACDILL

MEDICARE: 6TH MEDGRP-MACDILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332000000XMilitary/U.S. Coast Guard Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12013075OTHERPK

General Provider Information

NPI Number : 1154420891
Entity Type Code : Organization
Provider Name (Legal Business Name) : 6TH MEDGRP-MACDILL
Provider Business Mailing Address
First Line : 9208 KING PALM DR
Second Line :
City : TAMPA
State : FL
Zip : 33619-1328
Country : US
Telephone Number : 813-828-2273
Fax Number :
Provider Business Practice Location Address
First Line : 9208 KING PALM DR
Second Line :
City : TAMPA
State : FL
Zip : 33619-1328
Country : US
Telephone Number : 813-828-2273
Fax Number :
Authorized Official
Title or Position : CHIEF DHA PASS
Name : HECTOR MORALES
Credential :
Telephone Number : 210-536-6650
Provider Enumeration Date : 09/21/2006
Last Update Date : 06/11/2025

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Directions to “6TH MEDGRP-MACDILL ” Practice Location

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