NPI 1578762175

San Dg San Clemente Phcy

Organisation Military/U.S. Coast Guard Pharmacy San Clemente Island, CA

Practice location

Address: Branch Medical Clinic Bldg 60126, San Clemente Island, CA 92135
Phone: (619) 524-9356
Mailing address: 2450 Stanley Rd Suite 208, Fort Sam Houston, TX 78234-7510

Authorised official

Name: Hector Morales
Title: Manager Dod Pharmacy Operations Cen
Phone: (210) 221-8443

Registered specialties

Military/U.S. Coast Guard Pharmacy Primary

Suppliers Taxonomy 332000000X

Other Military/U.S. Coast Guard Pharmacy providers in California →

Registry record

NPI: 1578762175
Entity type: Organization
NPI issued: 13 Jul 2007
Record last updated: 13 Jul 2007

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.