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Organization

ACH BLANCHFIELD-FT CAMPBELL

Active
Parent organization
ACH BLANCHFIELD-FT CAMPBELL
Other names
CAMPB LHC PHCY
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACH BLANCHFIELD-FT CAMPBELL
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization

Contact information

Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 956-0374
(270) 798-8065
Mailing address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(270) 956-0374
(270) 798-8065

Taxonomy

Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2033104
PK
Enumeration date
09/20/2006
Last updated
06/12/2025
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