NPI 1013079334
Air Force
Practice location
- Address
- 2569 Shorey Way, Fairfield, CA 94533-6562
- Phone
- (707) 816-8622
Authorised official
- Name
- Marcos J Lopez
- Title
- Clinical Pharmacist
- Phone
- (707) 423-3459
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1013079334
- Entity type
- Organization
- NPI issued
- 14 Dec 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.