Provider Demographics
NPI:1558468306
Name:US COAST GUARD FINANCE CENTER
Entity Type:Organization
Organization Name:US COAST GUARD FINANCE CENTER
Other - Org Name:OPA LOCKA USCG 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 1:1430 KRISTINA WAY
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23326-0002
Mailing Address - Country:US
Mailing Address - Phone:305-953-2269
Mailing Address - Fax:305-953-2251
Practice Address - Street 1:103 OPA LOCKA AIRPORT
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-2325
Practice Address - Country:US
Practice Address - Phone:305-953-2269
Practice Address - Fax:305-953-2251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2015098OtherPK