Healthcare Provider Details
I. General information
NPI: 1164529913
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: 06/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 MUNRO AVE BLDG 270
CAPE MAY NJ
08204-5000
US
IV. Provider business mailing address
US COAST GUARD FINANCE CENTER 1430 KRISTINA WAY
CAPE MAY NJ
23326-0002
US
V. Phone/Fax
- Phone: 609-898-6863
- Fax: 609-898-6962
- Phone: 609-898-6863
- Fax: 609-898-6962
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332000000X |
| Taxonomy | Military/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