Organization
MADIGAN ARMY MEDICAL CTR
Active
Other names
DoD LEWIS ePHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 221-8443
Entity
Organization
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR 9040, JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-2586
(253) 968-3349
Mailing address
MADIGAN ARMY MEDICAL CTR, ATTN: MCHJ-PD-MSA, TACOMA, WA 98431-0001
(253) 968-2586
(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
—
2145489
PK
—
Enumeration date
04/25/2014
Last updated
04/30/2014
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