Organization
YUMA FLAS PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (MGR PHRMCY OPERATIONS CNTR)
(210) 221-8443
Entity
Organization
Contact information
Practice address
BMC BLDG 1175, YUMA, AZ 85369-9116
(928) 269-2765
(928) 269-5545
Mailing address
BMC BLDG 1175, YUMA, AZ 85369-9116
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0324335
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/16/2006
Last updated
08/25/2008
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