Organization
USCG DETROIT PHARMACY
Active
Other names
USCG DETROIT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
43401 N JEFFERSON AVE BLDG 825, SELFRIDGE, MI 48045-5266
(586) 239-3005
(586) 239-5010
Mailing address
43401 N JEFFERSON AVE BLDG 825, SELFRIDGE, MI 48045-5266
(586) 239-3005
(586) 239-5010
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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