Organization
ACH EVANS-CARSON
Active
Parent organization
ACH EVANS-CARSON
Other names
CARSON DIRAIMONDO PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACH EVANS-CARSON
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
3920 BARKELEY AVE, AVE, BLDG 1041, FT CARSON, CO 80913
(719) 526-7334
(719) 526-7449
Mailing address
EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR ATTN THIRD PARTY OFFICE, FT CARSON, CO 80913-4603
(719) 526-7334
(719) 526-7449
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003428
PK
—
Enumeration date
09/21/2006
Last updated
06/13/2025
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