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Organization

ACH MARTIN-BENNING

Active
Parent organization
ACH MARTIN-BENNING
Other names
DOD FT MOORE WINDER PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACH MARTIN-BENNING
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization

Contact information

Practice address
5331 41ST INF REGT RD, BLDG 3306, FORT BENNING, GA 31905
(706) 544-8223
(706) 544-8214
Mailing address
5331 41ST INF REGT RD, BLDG 3306, FORT BENNING, GA 31905
(706) 544-8223
(706) 544-8214

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
332000000X
Military/U.S. Coast Guard Pharmacy
Primary

Other

Enumeration date
12/01/2021
Last updated
06/06/2025
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