Organization
AMC EISENHOWER
Active
Parent organization
AMC EISENHOWER
Other names
DOD FT EISENHOWER PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMC EISENHOWER
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
DWIGHT D. EISENHOWER ARMY MEDICAL CENTER, BLDG 300, HOSPITAL ROAD, FORT EISENHOWER, GA 30905-5950
(706) 829-3411
(706) 787-6120
Mailing address
EISENHOWER ARMY MEDICAL CENTER, ATTN MCHF-PAD 300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 787-0573
(706) 787-8034
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
—
2146408
PK
—
Enumeration date
06/23/2014
Last updated
06/11/2025
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