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Organization

ACH LEONARD WOOD

Active
Parent organization
ACH LEONARD WOOD
Other names
L WOOD CTMC PHARMACY
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
4430 MISSOURI AVE # 1242, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1898
(573) 596-0405
Mailing address
4430 MISSOURI AVE # 1242, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1898
(573) 596-0405

Taxonomy

Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2048345
PK
Enumeration date
09/22/2006
Last updated
05/29/2025
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