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Organization

EISENHOWER ARMY MEDICAL CENTER

Active
Parent organization
EISENHOWER ARMY MEDICAL CENTER
Other names
BUCHANAN OP PHCY
Organization subpart
Yes

Provider details

NPI number
Legal business name
EISENHOWER ARMY MEDICAL CENTER
Authorized official
HECTOR MORALES (MGR PHRMCY OPERATIONS CNTR)
(210) 221-8274
Entity
Organization

Contact information

Practice address
BLDG 21, FT BUCHANAN, PR 00934
(787) 740-2052
Mailing address
300 W HOSPITAL RD, ATTN MCHF-PAD, FORT GORDON, GA 30905-5741
(706) 787-1125

Taxonomy

Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4022935
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
09/22/2006
Last updated
05/28/2024
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