Organization
NMC SAN DIEGO
Active
Parent organization
NMC SAN DIEGO
Other names
SAN DG MIRAMAR PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
NMC SAN DIEGO
Authorized official
MR. HECTOR MORALES (CHIEF DHA POSC)
(210) 536-6650
Entity
Organization
Contact information
Practice address
19875 MITSCHER WAY, BLDG 2495, SAN DIEGO, CA 92145-5103
(858) 577-9961
(858) 532-5898
Mailing address
19875 MITSCHER WAY, BLDG 2495, SAN DIEGO, CA 92145-5103
(858) 577-9961
(858) 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
—
2027412
PK
—
Enumeration date
09/22/2006
Last updated
06/30/2025
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