Organization
EVANS ARMY COMMUNITY HOSPITAL
Active
Other names
USAFA MAIN OP PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
4102 PINION DR, 4TH FLOOR, US AIR FORCE, CO 80840-2502
(719) 333-2273
(719) 333-5145
Mailing address
4102 PINION DR, 4TH FLOOR, US AIR FORCE, CO 80840-2502
(719) 333-2273
(719) 333-5145
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003327
PK
—
Enumeration date
09/21/2006
Last updated
09/14/2016
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