Organization
NAVAL HOSPITAL TWENTYNINE PALMS
Active
Parent organization
NAVAL HOSPITAL TWENTYNINE PALMS
Other names
DOD CHINA LAKE PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HOSPITAL TWENTYNINE PALMS
Authorized official
HECTOR MORALES (CHIEF DHA POSC)
(210) 536-6650
Entity
Organization
Contact information
Practice address
1 ADMINISTRATION CIR, STOP 1311 BLDG 1403, RIDGECREST, CA 93555-6104
(760) 939-8001
(619) 939-2911
Mailing address
PO BOX 788250, TWENTYNINE PALMS, CA 92278-8250
(619) 532-8400
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151473
PK
—
Enumeration date
04/20/2015
Last updated
03/13/2023
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