Healthcare Provider Details

I. General information

NPI: 1932206794
Provider Name (Legal Business Name): US COAST GUARD FINANCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 06/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COAST GUARD ISLAND BLDG 1
ALAMEDA CA
94501
US

IV. Provider business mailing address

US COAST GUARD FINANCE OFFICE CTR 1430 KRISTINA WAY
CHESAPEAKE VA
23326-0002
US

V. Phone/Fax

Practice location:
  • Phone: 510-437-3602
  • Fax: 510-437-3034
Mailing address:
  • Phone: 510-437-3602
  • Fax: 510-437-3034

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: HECTOR MORALES
Title or Position: CHIEF DHA PASS
Credential:
Phone: 210-536-6650