Healthcare Provider Details

I. General information

NPI: 1659405496
Provider Name (Legal Business Name): NAVAL HOSPITAL BEAUFORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PINCKNEY BLVD PHARMACY DEPT
BEAUFORT SC
29902-6122
US

IV. Provider business mailing address

1 PINCKNEY BLVD PO BOX 6098B
BEAUFORT SC
29902-6148
US

V. Phone/Fax

Practice location:
  • Phone: 843-228-5407
  • Fax: 843-228-5272
Mailing address:
  • Phone: 843-228-5407
  • Fax: 843-228-5272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. RACHEL REBECCA HOLLOWAY
Title or Position: HEAD, PHARMACY DEPARTMENT
Credential: PHARMD
Phone: 843-228-5407