Organization
WALTER REED ARMY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INSOOK BAE RPH (STAFF PHARMACIST)
(202) 782-6224
Entity
Organization
Contact information
Practice address
2901 S. LEISURE WORLD BLVD. A-217, SILVER SPRING, MD 20906
(202) 782-6224
Mailing address
2901 S. LEISURE WORLD BLVD. A-217, SILVER SPRING, MD 20906
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
28650000X
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09917
LIC.REG.CERT.NO
MD
01
—
32935
LIC.REG.CERT.NO
NY
01
—
BP3767437
WALTERREEDARMYMEDICALCENT
DC
Enumeration date
02/20/2007
Last updated
08/22/2020
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