# WALTER REED NATIONAL MILITARY MED CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BETHESDA REFILL PHCY-SUGAR GROVE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720140130
- **Authorized official:** HECTOR MORALES (CHIEF DHA PASS)
- **Authorized official phone:** (210) 536-6650

## Contact information

- **Practice address:** 8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
- **Practice address phone:** (301) 295-2123
- **Practice address fax:** (301) 295-4662
- **Mailing address:** 8901 WISCONSIN AVE, PSC 509 CODE 6300, BETHESDA, MD 20889-5600
- **Mailing address phone:** (301) 295-2123
- **Mailing address fax:** (301) 295-4662

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 04/06/2016