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Organization
USCG DETROIT PHARMACY
Active
Organization
USCG DETROIT PHARMACY
Active
Other names
USCG DETROIT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
43401 N JEFFERSON AVE BLDG 825, SELFRIDGE, MI 48045-5266
(586) 239-3005
(586) 239-5010
Mailing address
43401 N JEFFERSON AVE BLDG 825, SELFRIDGE, MI 48045-5266
(586) 239-3005
(586) 239-5010
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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