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Organization
AHC MONCRIEF-JACKSON
Active
Organization
AHC MONCRIEF-JACKSON
Active
Parent organization
AHC MONCRIEF-JACKSON
Other names
JACKSON TMC PHCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHC MONCRIEF-JACKSON
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
4575 8TH DIVISION RD BLDG 4575, COLUMBIA, SC 29207
(803) 751-7358
(803) 751-2451
Mailing address
BLDG 4575, MARION AVE, FT JACKSON, SC 29207
(803) 751-7358
(803) 751-2451
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091733
PK
—
Enumeration date
09/22/2006
Last updated
06/30/2025
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