Organization
CAPE COD USCG PHCY
Active
Other names
CAPE COD USCG PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
KAEHLER MEMORIAL MEDICAL CLINIC, 5201 LEE RD US AIR STATION, CAPE COD, MA 02542
(508) 968-6702
(508) 968-6620
Mailing address
US COAST GUARD FINANCE CTR, 1430 KRISTINA WAY, CHESAPEAKE, VA 23326-0002
(210) 536-6650
(210) 536-6179
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2039156
PK
—
Enumeration date
09/22/2006
Last updated
06/08/2015
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