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Organization
WALTER REED NATIONAL MILITARY MED CENTER
Active
Organization
WALTER REED NATIONAL MILITARY MED CENTER
Active
Other names
SUGAR GROVE PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
BMC BLDG 63, SUGAR GROVE, WV 26815
(304) 249-6380
(304) 249-6379
Mailing address
BMC BLDG 63, SUGAR GROVE, WV 26815
(304) 249-6380
(304) 249-6379
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111427
PK
—
Enumeration date
09/22/2006
Last updated
01/20/2016
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