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Organization

AMC MADIGAN-FT LEWIS

Active
Parent organization
AMC MADIGAN-FT LEWIS
Other names
JBLM WINDER FMC PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMC MADIGAN-FT LEWIS
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization

Contact information

Practice address
9040A JACKSON AVE, TACOMA, WA 98431-0001
(252) 966-8400
(253) 966-8410
Mailing address
9040A JACKSON AVE, ATTN MCHJ-CSA-U, TACOMA, WA 98431-0001
(252) 966-8400
(253) 966-8410

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2110626
PK
Enumeration date
09/20/2006
Last updated
06/13/2025
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