Organization
AHC R W BLISS-HUACHUCA
Active
Parent organization
AHC R W BLISS-HUACHUCA
Other names
DoD FT HUACHUCA ePhcy
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHC R W BLISS-HUACHUCA
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
2240 WINROW RD BLDG 45001, RAYMOND W. BLISS ARMY HEALTH CENTER, FORT HUACHUCA, AZ 85613-5080
(520) 533-2520
(520) 533-0464
Mailing address
RAYMOND W. BLISS ARMY HEALTH CENTER, CO MCXJ-RMD-MSAD 2240 E WINROW AVE, FT HUACHUCA, AZ 85613-5080
(520) 533-2520
(520) 533-0464
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146184
PK
—
Enumeration date
06/13/2014
Last updated
06/13/2025
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