Organization
AMC MADIGAN-FT LEWIS
Active
Parent organization
AMC MADIGAN-FT LEWIS
Other names
JBLM OKUBO SCMH PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMC MADIGAN-FT LEWIS
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
BLDG 11582 17TH AND C ST, MADIGAN ARMY MEDICAL CTR, NORR FORT LEWIS, WA 98433
(253) 966-7623
(253) 968-3349
Mailing address
BLDG 11582 17TH AND C ST, MADIGAN ARMY MEDICAL CTR, NORR FORT LEWIS, WA 98433
(253) 966-7623
(253) 968-3349
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107400
PK
—
Enumeration date
09/22/2006
Last updated
06/13/2025
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