Organization
EISENHOWER ARMY MEDICAL CENTER
Active
Parent organization
EISENHOWER ARMY MEDICAL CENTER
Other names
MACPHERSON MAIN PHCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
EISENHOWER ARMY MEDICAL CENTER
Authorized official
HECTOR MORALES (MGR PHRMCY OPERATIONS CNTR)
(210) 221-8274
Entity
Organization
Contact information
Practice address
1701 HARDEE AVE SW, BLDG 125, FT MCPHERSON, GA 30330
(404) 464-0306
(404) 464-0303
Mailing address
300 W HOSPITAL RD, ATTN MCHF-PAD, FORT GORDON, GA 30905-5741
(706) 787-1125
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1147102
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/21/2006
Last updated
02/13/2013
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