Organization
WALTER REED NATIONAL MILITARY MED CENTER
Active
Other names
BETHESDA REFILL PHCY-SUGAR GROVE
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-2123
(301) 295-4662
Mailing address
8901 WISCONSIN AVE, PSC 509 CODE 6300, BETHESDA, MD 20889-5600
(301) 295-2123
(301) 295-4662
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2037274
PK
—
Enumeration date
12/14/2006
Last updated
04/06/2016
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