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Organization
EISENHOWER ARMY MEDICAL CENTER
Active
Organization
EISENHOWER ARMY MEDICAL CENTER
Active
Other names
GORDON PX PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
3RD AVENUE, BLDG 38200, FT GORDON, GA 30905
(706) 787-6155
(706) 787-6175
Mailing address
300 W HOSPITAL RD, ATTN MCHF-PAD, FORT GORDON, GA 30905-5741
(706) 787-6155
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
NULL
Other
Enumeration date
09/21/2006
Last updated
06/24/2015
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