# USCG SAN JUAN PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** USCG SAN JUAN PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649935750
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 5 CALLE LA PUNTILLA BLDG 125, SAN JUAN, PR 00901-1818
- **Practice address phone:** (787) 729-2304
- **Mailing address:** 5 CALLE LA PUNTILLA BLDG 125, SAN JUAN, PR 00901-1818
- **Mailing address phone:** (787) 729-2304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2021
- **Last updated:** 11/03/2021