San Dg San Clemente Phcy
NPI #1578762175 in San Clemente Island, California
Provider Information
- NPI Number
- 1578762175
- Entity Type
- Organization
- Organization Name
- San Dg San Clemente Phcy
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Jul 13, 2007
- Last Updated
- Jul 13, 2007
Practice Location
- Address
- BRANCH MEDICAL CLINIC
- Address 2
- BLDG 60126
- State
- California
- ZIP Code
- 92135
- Phone
- (619) 524-9356
Authorized Official
- Name
- MR. HECTOR MORALES
- Title
- MANAGER DOD PHARMACY OPERATIONS CEN
- Phone
- (210) 221-8443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military/U.S. Coast Guard Pharmacy |
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