Organization
AMC MADIGAN-FT LEWIS
Active
Parent organization
AMC MADIGAN-FT LEWIS
Other names
JBLM SOUTH SOUND CMH PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMC MADIGAN-FT LEWIS
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
500 LILLY RD NE STE 120, OLYMPIA, WA 98506-5195
(253) 968-2999
Mailing address
9040 A JACKSON AVE, ATTN MCHJ-CSA-U, TACOMA, WA 98431-0001
(253) 968-6598
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138533
PK
—
Enumeration date
01/14/2013
Last updated
06/13/2025
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