Organization
NAVAL AMBULATORY CARE CENTER
Active
Other names
EISENHOWER PHCY USNS DWIGHT D
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
USS DWIGHT D EISENHOWER CVN69, PORTSMITH, VA 23708
(757) 953-5547
(757) 953-7772
Mailing address
USS DWIGHT D EISENHOWER CVN69, PORTSMITH, VA 23708
(757) 953-5547
(757) 953-7772
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105234
PK
—
Enumeration date
09/22/2006
Last updated
02/16/2017
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