Provider Demographics
NPI:1831253632
Name:NEGISHI PHCY
Entity type:Organization
Organization Name:NEGISHI PHCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY OPERATIONS CENTER MGR
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 1400
Mailing Address - Street 2:
Mailing Address - City:NEGISHI
Mailing Address - State:NEGISHI
Mailing Address - Zip Code:APO
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BLDG 1400
Practice Address - Street 2:
Practice Address - City:NEGISHI
Practice Address - State:NEGISHI
Practice Address - Zip Code:APO
Practice Address - Country:JP
Practice Address - Phone:01181311-742-4165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy