Provider Demographics
NPI:1699844753
Name:OKINAWA FLIGHTLINE PHCY
Entity Type:Organization
Organization Name:OKINAWA FLIGHTLINE PHCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER PHARMACY OPERATIONS CENTER
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:210-221-8443
Mailing Address - Street 1:BLDG 3554
Mailing Address - Street 2:
Mailing Address - City:OKINAWA
Mailing Address - State:JAPAN
Mailing Address - Zip Code:AP
Mailing Address - Country:JP
Mailing Address - Phone:01181611-734-6424
Mailing Address - Fax:
Practice Address - Street 1:BLDG 3554
Practice Address - Street 2:
Practice Address - City:OKINAWA
Practice Address - State:JAPAN
Practice Address - Zip Code:AP
Practice Address - Country:JP
Practice Address - Phone:01181611-734-6424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy