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Organization

DEPARTMENT OF DEFENSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN KENNETH SANDERS RPH (STAFF PHARMACIST)
(270) 798-8069
Entity
Organization

Contact information

Practice address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL (IP-PHARMACY), FORT CAMPBELL, KY 42223-5318
(270) 798-8069
Mailing address
1925 ASHLAND CITY RD APT 408, CLARKSVILLE, TN 37043-5298
(513) 307-6312

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
0313389
OH

Other

Enumeration date
05/19/2016
Last updated
05/19/2016
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