Organization
USCG TRAVERSE CITY PHARMACY
Active
Other names
USCG TRAVERSE CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
1175 AIRPORT RD, TRAVERSE CITY, MI 49686
(231) 922-8290
(231) 922-8292
Mailing address
300 E MAIN ST STE 1000, NORFOLK, VA 23510-9109
(231) 922-8290
(231) 922-8292
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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