# NH JACKSONVILLE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NH JACKSONVILLE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285731034
- **Legal business name:** NH JACKSONVILLE
- **Authorized official:** MR. HECTOR MORALES (CHIEF DHA POSC)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 814 RADFORD BLVD, BLDG 7200, ALBANY, GA 31704-5000
- **Practice address phone:** (229) 639-5976
- **Practice address fax:** (229) 639-7881
- **Mailing address:** 2080 CHILD ST \# 0601, JACKSONVILLE, FL 32214-5005
- **Mailing address phone:** (229) 639-5976
- **Mailing address fax:** (229) 639-7881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332000000X | Military/U.S. Coast Guard Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 06/11/2025