| NPI | 1649296815 |
|---|---|
| Doing Business As | AHC BARQUIST-DETRICK |
| Entity Type | Organization |
| Authorized Contact | TERRI KIMBROW Ubo Manager 301-677-8512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient |
| Additional Taxonomies | 332000000X Military/U.S. Coast Guard Pharmacy |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-04-01 |