# DUNHAM ARMY HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DETRICK PHCY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679672083
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 1452 PORTER ST, FT DETRICK, MD 21702
- **Practice address phone:** (301) 619-2850
- **Practice address fax:** (301) 619-7676
- **Mailing address:** 1452 PORTER ST, 2480 LLEWELLYN AVE STE 5800, FT DETRICK, MD 21702
- **Mailing address phone:** (301) 619-2850
- **Mailing address fax:** (301) 619-7676

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 06/03/2015