# EISENHOWER ARMY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GORDON PX PHCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306945076
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 3RD AVENUE, BLDG 38200, FT GORDON, GA 30905
- **Practice address phone:** (706) 787-6155
- **Practice address fax:** (706) 787-6175
- **Mailing address:** 300 W HOSPITAL RD, ATTN MCHF-PAD, FORT GORDON, GA 30905-5741
- **Mailing address phone:** (706) 787-6155

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 06/24/2015