Organization
DEWITT ARMY COMMUNITY HOSPITAL
Active
Other names
DUMFRIES HD PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
3700 FETTLER PARK DR, DUMFRIES, VA 22025-2050
(301) 400-0912
(301) 295-4662
Mailing address
9501 FARRELL RD, STE GC 11, FORT BELVOIR, VA 22060-5901
(301) 400-0912
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
—
2168779
PK
—
Enumeration date
04/07/2017
Last updated
04/07/2017
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