# AMC MADIGAN-FT LEWIS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMC MADIGAN-FT LEWIS
- **Other names:** DOD JB LEWIS MCCHORD PHARMACY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619076650
- **Legal business name:** AMC MADIGAN-FT LEWIS
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** JACKSON AVE BLDG 9040A, TACOMA, WA 98431-0001
- **Practice address phone:** (253) 968-2015
- **Practice address fax:** (253) 968-6233
- **Mailing address:** JACKSON AVE BLDG 9040A, ATTN MCHJ-PD-MSA, TACOMA, WA 98431-0001
- **Mailing address phone:** (253) 968-6233
- **Mailing address fax:** (210) 295-2567

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 06/13/2025