MEDICARE: NH YOKOSUKA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332000000X	Military/U.S. Coast Guard Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2114110	OTHER		PK

General Provider Information

NPI Number	:	1184793234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NH YOKOSUKA

Provider Business Mailing Address
First Line	:	PSC 475 BOX 1
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96350-1200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	BLDG 1400
Second Line	:	SAN DIEGO STREET
City	:	FPO
State	:	AP
Zip	:	96350
Country	:	US
Telephone Number	:	210-536-6650
Fax Number	:

Authorized Official
Title or Position	:	DHA POD SR PROGRAM ANALYST
Name	:	MR. HECTOR MORALES
Credential	:
Telephone Number	:	210-536-6650

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	06/12/2025

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Directions to “NH YOKOSUKA ” Practice Location

Language	Start Address	Practice Location

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