Organization
ACH LEONARD WOOD
Active
Parent organization
ACH LEONARD WOOD
Other names
DoD FT LEONARD WOOD ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACH LEONARD WOOD
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1490
(573) 596-0405
Mailing address
4234 ILLINOIS AVE, BOX 1242, FORT LEONARD WOOD, MO 64573
(573) 596-1490
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146212
PK
—
Enumeration date
06/10/2014
Last updated
05/05/2026
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