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Organization

AHC R W BLISS-HUACHUCA

Active
Parent organization
AHC R W BLISS-HUACHUCA
Other names
HUACHUCA MAIN PHCY
Organization subpart
Yes

Provider details

NPI number
Legal business name
AHC R W BLISS-HUACHUCA
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6690
Entity
Organization

Contact information

Practice address
2 W BLISS ARMY HEALTH CTR, BLDG 45001, FT HUACHUCA, AZ 85613
(520) 533-2520
(520) 533-0464
Mailing address
RAYMOND W BLISS ARMY HEALTH CENTER, MCXJ-RMD-MSAO 2240 E WINROW AVE, FT HUACHUCA, AZ 85613-5080

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1990527
PK
Enumeration date
09/22/2006
Last updated
06/13/2025
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