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SAN DG SAN CLEMENTE PHCY NPI 1578762175


NPI Information

NPI: 1578762175
Provider Name: SAN DG SAN CLEMENTE PHCY
Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
Entity Type: Organization
Address:
BRANCH MEDICAL CLINIC
BLDG 60126
SAN CLEMENTE ISLAND, CA
ZIP 92135
Phone: (619) 524-9356
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SAN DG SAN CLEMENTE PHCY is a military us coast guard pharmacy in San Clemente Island, 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. SAN DG SAN CLEMENTE PHCY NPI is 1578762175. The provider is registered as an organization entity type.

The provider's business location address is:

BRANCH MEDICAL CLINIC
BLDG 60126
SAN CLEMENTE ISLAND, CA
ZIP 92135
Phone: (619) 524-9356

The provider's authorized official is Hector Morales .
The authorized official title is Manager Dod Pharmacy Operations Cen and has the following contact phone number (210) 221-8443.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 7/13/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332000000XMilitary/U.S. Coast Guard PharmacyYes

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: 5/5/2024

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