# NH JACKSONVILLE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NH JACKSONVILLE
- **Other names:** DOD KINGS BAY PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376640128
- **Legal business name:** NH JACKSONVILLE
- **Authorized official:** HECTOR MORALES (CHIEF DHA POSC)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 881 USS JAMES MADISON RD BLDG 1028, NAVSUBASE, KINGS BAY, GA 31547-2531
- **Practice address phone:** (912) 673-4264
- **Practice address fax:** (912) 673-3761
- **Mailing address:** 881 USS JAMES MADISON RD BLDG 1028, NAVSUBASE, KINGS BAY, GA 31547-2531
- **Mailing address phone:** (912) 673-4264
- **Mailing address fax:** (912) 673-3761

## 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