Provider Demographics
NPI:1508935792
Name:ERMC UNIFORM BUSINESS OFFICE
Entity Type:Organization
Organization Name:ERMC UNIFORM BUSINESS OFFICE
Other - Org Name:ILLESHEIM PHCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF DHA PASS
Authorized Official - Prefix:
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:CMR 402 BLDG 3700 ERMC UBO
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180
Mailing Address - Country:US
Mailing Address - Phone:210-221-8274
Mailing Address - Fax:210-295-2567
Practice Address - Street 1:STORK BARRACKS BLDG 6620
Practice Address - Street 2:91471 ILLESHEIM GERMANY
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09140
Practice Address - Country:US
Practice Address - Phone:210-221-8274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2113886OtherPK
1982778114OtherPARENT FACILITY BAVARIA MEDDAC NPI
1053527903OtherFACILITY AHC ILLESHEIM NPI