Healthcare Provider Details

I. General information

NPI: 1891864963
Provider Name (Legal Business Name): NH OKINAWA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 3510 CAMP SCHWAB JAPAN
FPO AP
96604-8449
US

IV. Provider business mailing address

BLDG 3510 CAMP SCHWAB JAPAN
FPO AP
96604-8449
US

V. Phone/Fax

Practice location:
  • Phone: 210-536-6650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332000000X
TaxonomyMilitary/U.S. Coast Guard Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. HECTOR MORALES
Title or Position: CHIEF DHA POSC
Credential:
Phone: 210-536-6650