| NPI | 1710084561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MICHAEL CONDON Navy Medicine Ubo Program Manager 240-401-3643 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332000000X MilitaryU.S. Coast Guard Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-12-19 |