Organization
DETROIT USCG PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR MORALES (MANAGER DOD PHARMACY OPERATIONS CTR)
(210) 221-8443
Entity
Organization
Contact information
Practice address
43355 NORTH JEFFERSON, USCG CLINIC - BLDG 825, DETROIT, MI 48045
(586) 307-5017
Mailing address
2450 STANLEY RD STE 208, ATTN HECTOR MORALES, FORT SAM HOUSTON, TX 78234-6102
(210) 221-8443
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
08/11/2008
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