MEDICARE: NHC QUANTICO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332000000X	Military/U.S. Coast Guard Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2005910	OTHER		PK

General Provider Information

NPI Number	:	1922105774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NHC QUANTICO

Provider Business Mailing Address
First Line	:	901 M ST SE BLDG 183
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20374-0001
Country	:	US
Telephone Number	:	202-433-6808
Fax Number	:	202-433-2205

Provider Business Practice Location Address
First Line	:	901 M ST SE BLDG 183
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20374-0001
Country	:	US
Telephone Number	:	202-433-6808
Fax Number	:	202-433-2205

Authorized Official
Title or Position	:	CHIEF DHA POSC
Name	:	MR. HECTOR MORALES
Credential	:
Telephone Number	:	210-536-6650

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	05/30/2025

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Directions to “NHC QUANTICO ” Practice Location

Language	Start Address	Practice Location

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