| NPI | 1104925585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS LOPEZ Clinical Pharmacist 707-423-3459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: PR 4679) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-06-13 |