# MUNSON ARMY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992107627
- **Authorized official:** DR. APARNA BARBARA RAIZADA PHARM.D. (CHIEF, PHARMACY SERVICES)
- **Authorized official phone:** (913) 684-6054

## Contact information

- **Practice address:** 550 POPE AVE, BLDG 343, ROOM 1A146, FORT LEAVENWORTH, KS 66027-2332
- **Practice address phone:** (913) 684-6054
- **Mailing address:** 550 POPE AVE, BLDG 343, ROOM 1A146, FORT LEAVENWORTH, KS 66027-2332
- **Mailing address phone:** (913) 684-6054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2014
- **Last updated:** 09/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | W2P4AA | US ARMY MEDICAL COMMAND UIC | TX |
