# AMC EISENHOWER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMC EISENHOWER
- **Other names:** FT EISENHOWER CONNELLY PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215036983
- **Legal business name:** AMC EISENHOWER
- **Authorized official:** HECTOR MORALES (DHA POD SR PROGRAM ANALYST)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** AVENUE B BLDG 29709, MARK CONNELLY HEALTH CLINIC, FT GORDON, GA 30905
- **Practice address phone:** (706) 787-5167
- **Practice address fax:** (706) 787-6175
- **Mailing address:** EISENHOWER ARMY MEDICAL CENTER, ATTN MCHF-PAD, FT GORDON, GA 30905-5741
- **Mailing address phone:** (706) 787-5167
- **Mailing address fax:** (706) 787-6175

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 06/11/2025