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Organization

USS TRANQ - TURN TWO PHCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HECTOR MORALES (PHARMACY OPERATIONS CENTER MGR)
(210) 221-8443
Entity
Organization

Contact information

Practice address
3420 ILLINOIS STREET, GREAT LAKES, IL 60088
(847) 688-7406
Mailing address
3420 ILLINOIS STREET, GREAT LAKES, IL 60088
(847) 688-7406

Taxonomy

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

Other

Enumeration date
12/15/2006
Last updated
08/25/2008
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