Organization
WARRENTON USCG PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (MGR PHRMCY OPERATIONS CNTR)
(210) 221-8443
Entity
Organization
Contact information
Practice address
2185 SE 12TH PL, WARRENTON, OR 97146-9311
(503) 861-6245
(864) 861-6358
Mailing address
2185 SE 12TH PL, WARRENTON, OR 97146-9311
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3814779
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
04/16/2009
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