# FT MEADE MEDDAC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FT MEADE MEDDAC
- **Other names:** DoD FT DETRICK ePhcy, DOD FT DETRICK PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205242310
- **Legal business name:** FT MEADE MEDDAC
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 1434 PORTER ST, FREDERICK, MD 21702-9254
- **Practice address phone:** (301) 619-6710
- **Practice address fax:** (301) 619-6286
- **Mailing address:** KIMBROUGH ACC MILITARY MTF, C/O CDR USAMEDDAC MCXR-BD 2480 LUWELLYN AVE STE 5800, FT MEADE, MD 20755-5129
- **Mailing address phone:** (301) 619-6710
- **Mailing address fax:** (301) 619-6286

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 05/30/2025