Organization
NMC SAN DIEGO
Active
Parent organization
NMC SAN DIEGO
Other names
SAN DG EASTLAKE 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
2300 BOSWELL RD, SUITE 190, CHULA VISTA, CA 91914-3523
(619) 532-8407
(619) 532-6260
Mailing address
34520 BOB WILSON DR, SUITE 20, SAN DIEGO, CA 92134-2098
(619) 532-8407
(619) 532-6260
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137762
PK
—
Enumeration date
11/07/2012
Last updated
06/30/2025
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