Organization
FOX ARMY HEALTH CENTER
Active
Other names
REDSTONE PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
USA MEDDAC, BLDG 4100 GOSS RD, REDSTONE ARSENAL, AL 35809-7000
(256) 876-5773
(256) 842-0655
Mailing address
MCXW PAD INS OFFICE, BLDG 4100 GOSS RD, REDSTONE ARSENAL, AL 35809-7000
(201) 221-8274
(210) 295-2567
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1994579
PK
—
Enumeration date
09/22/2006
Last updated
08/19/2015
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