| NPI | 1104231091 |
|---|---|
| Doing Business As | DOD GRAND FORKS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HECTOR MORALES Chief Dha Pass 210-536-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332000000X Military/U.S. Coast Guard Pharmacy |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2021-04-07 |