Gahcc-tpcp

NPI 1053724807 - Military/U.S. Coast Guard Pharmacy - 332000000X

NPI Details
NPI 1053724807
Enumeration Date 06/10/2014
Last Updated 02/17/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name HECTOR HECTOR
Position CHIEF DHA PASS
Phone (315) 772-3696
Fax (315) 772-1691
Practice Location
GUTHRIE AMBULATORY HEALTH CARE CLINIC
11050 MT. BELVEDE
FORT DRUM NY, 13602-5004, US
Phone (315) 772-3696
Fax (315) 772-1691
Business Location
GAHCC-TPCP
11050 MT. BELVEDERE BOULEVARD
FORT DRUM NY, 13602-5004, US
Phone (315) 772-3696
Fax (315) 772-1691
Toxanomy
Taxonomy Code 332000000X
License State
License Number
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According to our database, Gahcc-tpcp NPI is 1053724807, taxonomy code is 332000000X Gahcc-tpcp physically located at Guthrie Ambulatory Health Care Clinic, Fort Drum NY, 13602-5004. NPI Number 1033115704 has the healthcare provider type.

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1053724807 NPI number is provided on an as is basis without warranty of any kind. 1053724807 is maintained by the National Plan & Provider Enumeration System. The contents of Gahcc-tpcp are for informational purposes only.