Organization
IRELAND ARMY COMMUNITY HOSPITAL
Active
Other names
MCCOY TMC PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
2669 W REGIMENTAL AVE, FORT MCCOY, WI 54656-5229
(608) 388-2842
(608) 388-3964
Mailing address
2669 W REGIMENTAL AVE, FORT MCCOY, WI 54656-5229
(608) 388-2842
(608) 388-3964
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110082
PK
—
Enumeration date
09/20/2006
Last updated
01/08/2016
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