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Organization
MUNSON ARMY HEALTH CENTER
Active
Organization
MUNSON ARMY HEALTH CENTER
Active
Other names
MAHC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. APARNA BARBARA RAIZADA PHARM.D. (CHIEF, PHARMACY SERVICES)
(913) 684-6054
Entity
Organization
Contact information
Practice address
550 POPE AVE, BLDG 343, ROOM 1A146, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6054
Mailing address
550 POPE AVE, BLDG 343, ROOM 1A146, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6054
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W2P4AA
US ARMY MEDICAL COMMAND UIC
TX
Enumeration date
09/25/2014
Last updated
09/25/2014
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