21st Medgrp-Peterson
21st Medgrp-Peterson is a Military/U.S. Coast Guard Pharmacy in Peterson AFB, Colorado. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
110 W ENT AvePeterson AFB, CO 80914-1595
Phone: (719) 556-0865
Fax: (719) 556-1106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military/U.S. Coast Guard Pharmacy (primary) | Taxonomy 332000000X |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1932514171 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 21st Medgrp-Peterson |
| Authorized official | Hector Morales — Chief Dha Pass · (210) 536-6650 |
| Other names | Dod Peterson Satl Ephcy |
| NPI enumerated | June 26, 2014 |
| Last updated in NPPES | June 13, 2025 |
| Certification date | June 13, 2025 |
| Mailing address | 21st Medical Group C/O Rmo Office, 559 Vincent St, Peterson Afb, CO 80914-1541 |
Other providers in Peterson AFB
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21st Medical Group
559 Vincent St, Peterson AFB, CO 80914-1541 · (719) 333-2273