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Organization

WALTER REED NATIONAL MILITARY MED CENTER

Active
Other names
CARLISLE DUNHAM CALL-IN 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) 245-3852
(717) 245-3815
Mailing address
450 GIBNER RD, 2480 LLEWELLYN AVE STE 5800, CARLISLE BARRACKS, PA 17013-5090
(717) 245-3852
(717) 245-3815

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2085494
PK
Enumeration date
12/20/2006
Last updated
02/23/2016
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