Healthcare Provider Details

I. General information

NPI: 1093128282
Provider Name (Legal Business Name): NHC PENSACOLA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 RUSSELL AVE BLDG 41
NEW ORLEANS LA
70143-5077
US

IV. Provider business mailing address

NAVAL HOSPITAL PENSACOLA 6000 W HWY 98 CODE 11
PENSACOLA FL
32512-0003
US

V. Phone/Fax

Practice location:
  • Phone: 504-678-3383
  • Fax: 504-678-9069
Mailing address:
  • Phone: 504-678-3383
  • Fax: 504-678-9069

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 POSC
Credential:
Phone: 210-536-6650