59th Mdw-whasc-lackland
Military and U.S. Coast Guard Ambulatory Procedure
2200 Bergquist Dr, Suite 1 Adbs, Lackland A F B
Texas, 78236-9907
210-292-7575 210-292-2592
59th Mdw-whasc-lackland is a Military and U.S. Coast Guard Ambulatory Procedure in Lackland A F B, Texas. This organization is also known as sub part of 59th Mdw-whasc-lackland. It is located at 2200 Bergquist Dr, Suite 1 Adbs, Lackland A F B and it's customer support contact number is 210-292-7575. The authorized person of 59th Mdw-whasc-lackland is Jen Lewandowski who is Dha Ubo of the pharmacy and his contact number is 703-817-4030.
59th Mdw-whasc-lackland is that part of a “fixed” (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial “take home” pharmaceuticals.
Pharmacy Details:
59th Mdw-whasc-lackland type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | 59th Mdw-whasc-lackland |
| Type: | Military and U.S. Coast Guard Ambulatory Procedure |
| Location: | 2200 Bergquist Dr, Suite 1 Adbs, Lackland A F B,
Texas, 78236-9907 |
| Phone: | 210-292-7575 |
| Fax: | 210-292-2592 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jen Lewandowski |
| Position: | Dha Ubo |
| Contact Number: | 703-817-4030 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1275511776 |
| Parent Organization: | 59th Mdw-whasc-lackland |
| NPI Enumeration Date: | 04 Jan, 2006 |
| NPI Last Update On: | 17 Jun, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 59th Mdw-whasc-lackland are as mentioned below.
| Specialization | License Number | State | Status | |
| Military and U.S. Coast Guard Ambulatory Procedure | | | Primary | |
| Military/U.S. Coast Guard Outpatient | | | Secondary | |
| Military/u.s. Coast Guard Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| HH6032 | Other | Texas | Blue Cross Blue Shield |
| 4596776 | Other | Texas | Ncpdp |
| 021757201 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2200 Bergquist Dr, Suite 1 Adbs
Lackland A F B, Texas |
| Zip: | 78236-9907 |
| Phone Number: | 210-292-7575 |
| Fax Number: | 210-292-2592 |
Patients can reach 59th Mdw-whasc-lackland at
2200 Bergquist Dr, Suite 1 Adbs, Lackland A F B, Texas or can
call on customer care at 210-292-7575.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.