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Organization
SAN DG SAN CLEMENTE PHCY
Active
Organization
SAN DG SAN CLEMENTE PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR MORALES (MANAGER DOD PHARMACY OPERATIONS CEN)
(210) 221-8443
Entity
Organization
Contact information
Practice address
BRANCH MEDICAL CLINIC, BLDG 60126, SAN CLEMENTE ISLAND, CA 92135
(619) 524-9356
Mailing address
2450 STANLEY RD, SUITE 208, FORT SAM HOUSTON, TX 78234-7510
(210) 221-8274
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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