412th Medgrp-Edwards
412th Medgrp-Edwards is a Military/U.S. Coast Guard Pharmacy in Edwards AFB, California. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
30 Nightingale Rd Bldg 5525Edwards AFB, CA 93524-1730
Phone: (661) 277-2052
Fax: (661) 277-8284
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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 |
|---|
Record details
| NPI number | 1548673163 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 412th Medgrp-Edwards |
| Authorized official | Hector Morales — Chief Dha Pass · (210) 536-6650 |
| Other names | Dod Edwards Pharmacy |
| NPI enumerated | June 11, 2014 |
| Last updated in NPPES | June 12, 2025 |
| Certification date | June 12, 2025 |
| Mailing address | 95 Th Medical Group Sgsr, 30 Nightingale Rd. Bldg 5525, Edwards Afb, CA 93524-0001 |