Provider Demographics
NPI:1831296680
Name:WRAMC TREASURY TPCP
Entity Type:Organization
Organization Name:WRAMC TREASURY TPCP
Other - Org Name:WASH DC HHQ 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 1:400 7TH ST SW RM 6227
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2585
Mailing Address - Country:US
Mailing Address - Phone:202-366-0879
Mailing Address - Fax:202-366-8519
Practice Address - Street 1:400 7TH ST SW RM 6227
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2585
Practice Address - Country:US
Practice Address - Phone:202-366-0879
Practice Address - Fax:202-366-8519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2005920OtherPK