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Organization
DEWITT ARMY COMMUNITY HOSPITAL
Active
Organization
DEWITT ARMY COMMUNITY HOSPITAL
Active
Other names
FAIRFAX HD PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
10580 ARROWHEAD DR, FAIRFAX, VA 22030-7301
(301) 400-0912
(301) 295-4662
Mailing address
9501 FARRELL RD, STE GC 11, FORT BELVOIR, VA 22060-5901
(301) 295-4662
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168778
PK
—
Enumeration date
04/07/2017
Last updated
04/07/2017
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