Organization
NAVAL HEALTH CLINIC PATUXENT RIVER
Active
Parent organization
NAVAL HEALTH CLINIC PATUXENT RIVER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HEALTH CLINIC PATUXENT RIVER
Authorized official
MR. HECTOR MORALES (CHIEF DHA POSC)
(210) 536-6650
Entity
Organization
Contact information
Practice address
BLDG 1600 WILSON DRIVE, INDIAN HEAD, MD 20640
(410) 744-4904
(410) 744-4361
Mailing address
NATIONAL NAVAL MEDICAL, 8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(410) 744-4904
(410) 744-4361
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2037300
PK
—
Enumeration date
09/20/2006
Last updated
03/15/2023
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