Provider Demographics
NPI:1528473774
Name:NHC QUANTICO
Entity type:Organization
Organization Name:NHC QUANTICO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF DHA POSC
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:THE TREASURER OF THE UNITED STATES
Mailing Address - Street 2:3259 CATLIN AVE
Mailing Address - City:QUANTICO
Mailing Address - State:VA
Mailing Address - Zip Code:22134-5109
Mailing Address - Country:US
Mailing Address - Phone:703-784-1718
Mailing Address - Fax:703-784-1568
Practice Address - Street 1:3259 CATLIN AVE
Practice Address - Street 2:
Practice Address - City:QUANTICO
Practice Address - State:VA
Practice Address - Zip Code:22134-5109
Practice Address - Country:US
Practice Address - Phone:703-784-1718
Practice Address - Fax:703-784-1568
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NHC QUANTICO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-26
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2146219OtherPK