Provider Type Icon

USCG DETROIT PHARMACY NPI 1801550843


NPI Information

NPI: 1801550843
Provider Name: USCG DETROIT PHARMACY
Classification: Military/U.S. Coast Guard Pharmacy - 332000000X
Entity Type: Organization

CLIA Number: 23D1104227

Address:
43401 N JEFFERSON AVE BLDG 825
SELFRIDGE, MI
ZIP 48045
Phone: (586) 239-3005
Get Directions

USCG DETROIT PHARMACY is a military us coast guard pharmacy in Selfridge, MI. 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. USCG DETROIT PHARMACY NPI is 1801550843. The provider is registered as an organization entity type.

The provider's business location address is:

43401 N JEFFERSON AVE BLDG 825
SELFRIDGE, MI
ZIP 48045-266
Phone: (586) 239-3005
Fax: (586) 239-5010

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

The CLIA number assigned to this NPI record is 23D1104227 - other - military treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2021 and was last updated on 10/26/2021.


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

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.