Organization
PETALUMA TRACEN USCG PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (MANAGER PHARMACY OPERATIONS CENTER)
(210) 221-8443
Entity
Organization
Contact information
Practice address
599 TOMALES RD, PETALUMA, CA 94952-5002
(707) 765-7294
Mailing address
599 TOMALES RD, PETALUMA, CA 94952-5002
(707) 765-7294
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
08/25/2008
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