Organization
NMC SAN DIEGO
Active
Parent organization
NMC SAN DIEGO
Other names
SAN DG EL CENTRO PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
NMC SAN DIEGO
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
523 S 8TH ST, BLDG 523, EL CENTRO, CA 92243
(760) 339-2631
(619) 532-5898
Mailing address
34520 BOB WILSON DR STE 20, CAPTAIN OLAF NAUGEN, SAN DIEGO, CA 92134-2020
(760) 339-2631
(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
—
2028488
PK
—
Enumeration date
09/22/2006
Last updated
06/30/2025
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