# ACH MARTIN-BENNING

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ACH MARTIN-BENNING
- **Other names:** DOD FT MOORE PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174936942
- **Legal business name:** ACH MARTIN-BENNING
- **Authorized official:** GLORIA TAYLOR (UBO MANAGER)
- **Authorized official phone:** (762) 408-2461

## Contact information

- **Practice address:** 6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 31905-2102
- **Practice address phone:** (762) 408-2166
- **Practice address fax:** (762) 408-8110
- **Mailing address:** 8125 MARNE RD RM 274, FORT BENNING, GA 31905-5637
- **Mailing address phone:** (706) 544-3442
- **Mailing address fax:** (762) 408-8110

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2014
- **Last updated:** 06/30/2025