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Organization

NAVAL HOSPITAL PENSACOLA

Active
Parent organization
NAVAL HOSPITAL PENSACOLA
Organization subpart
Yes

Provider details

NPI number
Legal business name
NAVAL HOSPITAL PENSACOLA
Authorized official
MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
(240) 401-3643
Entity
Organization

Contact information

Practice address
4400 DAUPHINE ST BLDG 601, NEW ORLEANS, LA 70146-5609
(504) 678-1590
(504) 678-1596
Mailing address
NAVAL HOSPITAL PENSACOLA, 6000 W HWY 98 CODE 41C, PENSACOLA, FL 32512-0001
(504) 678-1590
(504) 678-1596

Taxonomy

Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2034915
PK
Enumeration date
09/20/2006
Last updated
12/19/2017
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