| NPI | 1891857363 |
|---|---|
| Doing Business As | NELLIS MOD PHCY |
| Entity Type | Organization |
| Authorized Contact | HECTOR MORALES Chief Dha Pass 210-536-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332000000X MilitaryU.S. Coast Guard Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2016-01-11 |