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Organization

NH JACKSONVILLE

Active
Parent organization
NH JACKSONVILLE
Other names
DOD KINGS BAY PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
NH JACKSONVILLE
Authorized official
HECTOR MORALES (CHIEF DHA POSC)
(210) 536-6650
Entity
Organization

Contact information

Practice address
881 USS JAMES MADISON RD BLDG 1028, NAVSUBASE, KINGS BAY, GA 31547-2531
(912) 673-4264
(912) 673-3761
Mailing address
881 USS JAMES MADISON RD BLDG 1028, NAVSUBASE, KINGS BAY, GA 31547-2531
(912) 673-4264
(912) 673-3761

Taxonomy

Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2020385
PK
Enumeration date
09/20/2006
Last updated
06/11/2025
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