Organization
NMC SAN DIEGO
Active
Parent organization
NMC SAN DIEGO
Other names
DOD SAN DIEGO PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
NMC SAN DIEGO
Authorized official
HECTOR MORALES (CHIEF DHA POSC)
(210) 536-6650
Entity
Organization
Contact information
Practice address
34800 BOB WILSON DR STE 1, SAN DIEGO, CA 92134-5000
(619) 532-8400
(760) 763-1024
Mailing address
CO CAPTAIN OLAF HAUGEN, 34520 BOB WILSON DR STE 20, SAN DIEGO, CA 92134-0001
(619) 532-8400
(619) 532-5898
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146228
PK
—
Enumeration date
06/17/2014
Last updated
06/30/2025
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