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NAVAL MEDICAL CENTER SAN DIEGO NPI 1124125984


NPI Information

NPI: 1124125984
Provider Name: NAVAL MEDICAL CENTER SAN DIEGO

Doing Business As: SAN DG 32ND ST NS PHCY

Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
Entity Type: Organization
Address:
2450 CRAVEN ST
BLDG 3300
SAN DIEGO, CA
ZIP 92136
Phone: (619) 556-8086
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NAVAL MEDICAL CENTER SAN DIEGO is a military us coast guard pharmacy in San Diego, CA. The provider is a Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. NAVAL MEDICAL CENTER SAN DIEGO NPI is 1124125984. The provider is registered as an organization entity type.
The provider Is Doing Business As San Dg 32nd St Ns Phcy.

The provider's business location address is:

2450 CRAVEN ST
BLDG 3300
SAN DIEGO, CA
ZIP 92136-599
Phone: (619) 556-8086
Fax: (619) 532-5898

The provider's authorized official is William Michael Condon .
The authorized official title is Navy Medicine Ubo Program Manager and has the following contact phone number (240) 401-3643.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332000000XMilitary/U.S. Coast Guard PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12028517OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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