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General NPI Number Information
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NPI Number | 1346960846
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Entity Type | Organization
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Legal Business Name | USCG BASE CHARLESTON PHARMACY
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 1050 REGISTER ST
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City | N CHARLESTON
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State | SC
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Zip | 29405-2421
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Country | US
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Telephone | 843-740-3147
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Fax | 843-740-3155
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Provider Business Mailing Address
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Address Line | 300 E MAIN ST STE 1000
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City | NORFOLK
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State | VA
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Zip | 23510-9109
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Country | US
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Telephone | 843-740-3147
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Fax | 843-740-3155
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Authorized Official
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Title or Position | CHIEF DHA POSC
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Name | HECTOR MORALES
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Credential |
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Telephone | 210-536-6650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332000000X
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Taxonomy Name | Military/U.S. Coast Guard Pharmacy
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License Number |
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License Number State |
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