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Organization
NAVAL MEDICAL CENTER SAN DIEGO
Active
Organization
NAVAL MEDICAL CENTER SAN DIEGO
Active
Other names
SAN DG NAB CORONADO PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
BOUGANVILLE RD, BLDG 506, SAN DIEGO, CA 92155-0001
(619) 437-2497
(619) 532-5898
Mailing address
BOUGANVILLE RD, BLDG 506, SAN DIEGO, CA 92155-0001
(619) 437-2497
(619) 532-5898
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2028523
PK
—
Enumeration date
09/22/2006
Last updated
01/15/2016
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