Organization
NH JACKSONVILLE
Active
Parent organization
NH JACKSONVILLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NH JACKSONVILLE
Authorized official
MR. HECTOR MORALES (CHIEF DHA POSC)
(210) 536-6650
Entity
Organization
Contact information
Practice address
814 RADFORD BLVD, BLDG 7200, ALBANY, GA 31704-5000
(229) 639-5976
(229) 639-7881
Mailing address
2080 CHILD ST # 0601, JACKSONVILLE, FL 32214-5005
(229) 639-5976
(229) 639-7881
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020386
PK
—
Enumeration date
09/20/2006
Last updated
06/11/2025
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