Provider Demographics
NPI:1881714590
Name:NAVAL HOSPITAL CAMP PENDLETON PHARMACY
Entity type:Organization
Organization Name:NAVAL HOSPITAL CAMP PENDLETON PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD, PHARMACY DEPARTMENT
Authorized Official - Prefix:
Authorized Official - First Name:THINH
Authorized Official - Middle Name:
Authorized Official - Last Name:HA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-725-1147
Mailing Address - Street 1:BUILDING H100, SANTA MARGARITA ROAD
Mailing Address - Street 2:
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BUILDING H100, SANTA MARGARITA ROAD
Practice Address - Street 2:
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055
Practice Address - Country:US
Practice Address - Phone:760-725-1147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital