# AMC MADIGAN-FT LEWIS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMC MADIGAN-FT LEWIS
- **Other names:** JBLM PUYALLUP CMH PHARMACY, MADIGAN PUYALLUP PHCY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316243744
- **Legal business name:** AMC MADIGAN-FT LEWIS
- **Authorized official:** HECTOR MORALES (DEPUTY DIRECTOR OF PHARMACY OPS)
- **Authorized official phone:** (210) 221-8274

## Contact information

- **Practice address:** 10507 156TH ST E, SUITE 112, PUYALLUP, WA 98374-9361
- **Practice address phone:** (253) 307-5433
- **Mailing address:** 9040A JACKSON AVE, ATTN: MCHJ-CSA-U, TACOMA, WA 98431-0001
- **Mailing address phone:** (253) 968-6598

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2011
- **Last updated:** 06/13/2025