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Organization

ACH WEED-IRWIN

Active
Parent organization
ACH WEED-IRWIN
Other names
ACH WEED-IRWIN
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACH WEED-IRWIN
Authorized official
DAVID STICKLEY (UBO MANAGER)
(760) 383-5886
Entity
Organization

Contact information

Practice address
BLDG 166, FORT IRWIN, CA 92310-5109
(760) 380-3124
Mailing address
4TH STREET, BLDG 166 RM 109, FORT IRWIN, CA 92310-5109
(760) 380-5213

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
2865M2000X
Military General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0530786
PHARMACY NCPDP
01
AN2598588
MEDCO
Enumeration date
10/26/2006
Last updated
05/22/2025
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