| NPI | 1194122564 |
|---|---|
| Doing Business As | DOD FAIRFAX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HECTOR MORALES Chief Dha Pass 210-536-6650 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332000000X MilitaryU.S. Coast Guard Pharmacy |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2025-05-30 |