Organization
WALTER REED NATIONAL MILITARY MED CENTER
Active
Other names
CARLISLE DUNHAM MAIN PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
450 GIBNER RD, CARLISLE BARRACKS, PA 17013-5090
(717) 245-4509
(717) 245-3815
Mailing address
MCXR-CBK-TPC 450 GIBNER RD STE 1, 2480 LLEWELLYN AVE STE 5800, CARLISLE BARRACKS, PA 17013
(210) 221-8274
(210) 295-2567
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2085493
PK
—
Enumeration date
09/20/2006
Last updated
06/08/2015
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