Organization
AMC MADIGAN-FT LEWIS
Active
Parent organization
AMC MADIGAN-FT LEWIS
Other names
DOD JB LEWIS MCCHORD 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
JACKSON AVE BLDG 9040A, TACOMA, WA 98431-0001
(253) 968-2015
(253) 968-6233
Mailing address
JACKSON AVE BLDG 9040A, ATTN MCHJ-PD-MSA, TACOMA, WA 98431-0001
(253) 968-6233
(210) 295-2567
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110629
PK
—
Enumeration date
09/22/2006
Last updated
06/13/2025
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