Organization
DELAWARE BAY USCG PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR MORALES (MANAGER DOD PHARMACY OPS)
(210) 221-8443
Entity
Organization
Contact information
Practice address
1 WASHINGTON AVE, PHILADELPHIA, PA 19147-4335
(215) 271-4816
Mailing address
2450 STANLEY RD, SUITE 208, FORT SAM HOUSTON, TX 78234-7510
(210) 221-8443
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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