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NAVAL MEDICAL CENTER SAN DIEGO NPI 1609120005


NPI Information

NPI: 1609120005
Provider Name: NAVAL MEDICAL CENTER SAN DIEGO

Doing Business As: SAN DG EASTLAKE PHARMACY

Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
Entity Type: Organization
Address:
2300 BOSWELL RD
SUITE 190
CHULA VISTA, CA
ZIP 91914
Phone: (619) 532-8407
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NAVAL MEDICAL CENTER SAN DIEGO is a military us coast guard pharmacy in Chula Vista, 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 1609120005. The provider is registered as an organization entity type.
The provider Is Doing Business As San Dg Eastlake Pharmacy.

The provider's business location address is:

2300 BOSWELL RD
SUITE 190
CHULA VISTA, CA
ZIP 91914-523
Phone: (619) 532-8407
Fax: (619) 532-6260

The provider's authorized official is Hector Morales .
The authorized official title is Chief Dha Posc and has the following contact phone number (210) 536-6650.

The enumeration date for this NPI number is 11/7/2012 and was last updated on 5/23/2023.


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

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12137762OTHERPK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.