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Organization
FT MEADE MEDDAC
Active
Organization
FT MEADE MEDDAC
Active
Parent organization
FT MEADE MEDDAC
Other names
DoD FT MEADE ePhcy, DOD FT MEADE PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
FT MEADE MEDDAC
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
2480 LLEWELLYN AVE STE 5800, KIMBROUGH AMBULATORY CARE CENTER, FORT MEADE, MD 20755-5129
(301) 677-8800
(301) 677-8456
Mailing address
KIMBROUGH ACC MILITARY MTF, CO CDR USAMEDDAC MCXR-BD 2480 LUWELLYN AVE STE 5800, FT MEADE, MD 20755-5129
(301) 677-8800
(301) 677-8456
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
NULL
333600000X
Pharmacy
—
NULL
Other
Enumeration date
06/13/2014
Last updated
05/30/2025
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