| NPI | 1720292501 |
|---|---|
| Doing Business As | DILORENZO TRICARE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARCIA DICKSON Financial Mgt Analyst 301-295-4934 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Additional Taxonomies | 332000000X MilitaryU.S. Coast Guard Pharmacy |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-11-15 |