Provider Demographics
NPI:1114425113
Name:NAVAL HOSPITAL PENSACOLA
Entity Type:Organization
Organization Name:NAVAL HOSPITAL PENSACOLA
Other - Org Name:DOD PANAMA CITY NBHC EPHCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF DHA POSC
Authorized Official - Prefix:MS
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-536-6650
Mailing Address - Street 1:2500 VETERANS WAY
Mailing Address - Street 2:BLDG 645
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32408
Mailing Address - Country:US
Mailing Address - Phone:850-636-7136
Mailing Address - Fax:850-636-7138
Practice Address - Street 1:2500 VETERANS WAY
Practice Address - Street 2:BLDG 645
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32408
Practice Address - Country:US
Practice Address - Phone:850-636-7136
Practice Address - Fax:850-636-7138
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAVAL HOSPITAL PENSACOLA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-25
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy