# AMC MADIGAN-FT LEWIS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMC MADIGAN-FT LEWIS
- **Other names:** JBLM SOUTH SOUND CMH PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023355823
- **Legal business name:** AMC MADIGAN-FT LEWIS
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 500 LILLY RD NE STE 120, OLYMPIA, WA 98506-5195
- **Practice address phone:** (253) 968-2999
- **Mailing address:** 9040 A JACKSON AVE, ATTN MCHJ-CSA-U, TACOMA, WA 98431-0001
- **Mailing address phone:** (253) 968-6598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332000000X | Military/U.S. Coast Guard Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/14/2013
- **Last updated:** 06/13/2025