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Organization

RAYMOND W. BLISS ARMY HEALTH CENTER

Active
Parent organization
RAYMOND W. BLISS ARMY HEALTH CENTER
Other names
HUACHUCA PX PHCY
Organization subpart
Yes

Provider details

NPI number
Legal business name
RAYMOND W. BLISS ARMY HEALTH CENTER
Authorized official
HECTOR MORALES (PHARMACY OPERATIONS CENTER MGR)
(210) 221-8274
Entity
Organization

Contact information

Practice address
2W BLISS ARMY HEALTH CENTER 45001, FT HUACHUCA, AZ 85613
(520) 533-2520
(520) 533-0464
Mailing address
2240 E WINROW AVE, ATTN MCXJ-RMD-MSAO, FT HUACHUCA, AZ 85613-7079
(520) 533-9685

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0324284
NCPDP
Enumeration date
12/20/2006
Last updated
01/31/2013
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