Organization
FT MEADE MEDDAC
Active
Parent organization
FT MEADE MEDDAC
Other names
DOD FT MYER PHARMACY, DoD FT MYER ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
FT MEADE MEDDAC
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
401 CARPENTER RD BLDG 525, FORT MYER, VA 22211-1009
(703) 696-3616
(703) 696-0276
Mailing address
KIMBROUGH ACC MILITARY MTF, C/O CDR USAMEDDAC MCXR-BD2480 LUWELLYN AVE STE 5800, FT MEADE, MD 20755
(703) 696-3616
(703) 696-0276
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
—
2146666
PK
—
Enumeration date
07/07/2014
Last updated
05/30/2025
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