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Organization

ACH MARTIN-BENNING

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

Provider details

NPI number
Legal business name
ACH MARTIN-BENNING
Authorized official
GLORIA TAYLOR (UBO MANAGER)
(762) 408-2461
Entity
Organization

Contact information

Practice address
6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 31905-2102
(762) 408-2166
(762) 408-8110
Mailing address
8125 MARNE RD RM 274, FORT BENNING, GA 31905-5637
(706) 544-3442
(762) 408-8110

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2145972
PK
Enumeration date
06/09/2014
Last updated
06/30/2025
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