| NPI | 1053076463 |
|---|---|
| Doing Business As | USCG ST. PETERSBURG PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HECTOR MORALES Chief Dha Pass 210-536-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |