=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194137711
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NH GUAM
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2014
-----------------------------------------------------
Last Update Date | 09/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | DOD NAVAL HOSPITAL GUAM PHARMACY BLDG #50 FARENHOLT AVE
-----------------------------------------------------
City | AGANA HEIGHTS
-----------------------------------------------------
State | GU
-----------------------------------------------------
Zip | 96910-0000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 671-344-9265
-----------------------------------------------------
Fax | 671-344-9494
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PSC 455 BOX 208
-----------------------------------------------------
City | FPO
-----------------------------------------------------
State | AP
-----------------------------------------------------
Zip | 96540-0003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 671-344-9265
-----------------------------------------------------
Fax | 671-344-9494
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF DHA POSC
-----------------------------------------------------
Name | MR. HECTOR MORALES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 210-536-6650
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332000000X
-----------------------------------------------------
Taxonomy Name | Military/U.S. Coast Guard Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------