Organization
NAVAL MEDICAL CENTER SAN DIEGO
Active
Other names
SAN DG NAB CORONADO PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
BOUGANVILLE RD, BLDG 506, SAN DIEGO, CA 92155-0001
(619) 437-2497
(619) 532-5898
Mailing address
BOUGANVILLE RD, BLDG 506, SAN DIEGO, CA 92155-0001
(619) 437-2497
(619) 532-5898
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2028523
PK
—
Enumeration date
09/22/2006
Last updated
01/15/2016
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