Organization
AHC MONCRIEF-JACKSON
Active
Parent organization
AHC MONCRIEF-JACKSON
Other names
DoD FT JACKSON ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHC MONCRIEF-JACKSON
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-7979
(803) 751-2048
Mailing address
MONCRIEF ARMY COMMUNITY HOSPITAL, 4500 STUART ST BOX 497, FORT JACKSON, SC 29207-5700
(803) 751-2415
(803) 751-2048
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146206
PK
—
Enumeration date
06/10/2014
Last updated
06/10/2025
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