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Organization

AMC MADIGAN-FT LEWIS

Active
Parent organization
AMC MADIGAN-FT LEWIS
Other names
DOD MONTEREY PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMC MADIGAN-FT LEWIS
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization

Contact information

Practice address
473 CABRILLO ST BLDG 422, U.S. ARMY HEALTH CLINIC PRESIDIO OF MONTEREY, MONTEREY, CA 93944-3201
(831) 242-5382
(831) 242-5809
Mailing address
MADIGAN ARMY MEDICAL CTR, CO ATTN MCHJ-PD-MSA 9040A FITZSIMMONS DR, TACOMA, WA 98431-0001
(831) 242-5382
(831) 242-5809

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
2146220
PK
Enumeration date
06/13/2014
Last updated
06/13/2025
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