Organization
IRELAND ARMY COMMUNITY HOSPITAL
Active
Other names
Camp Atterbury Phcy
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
EVANS ROAD, BLDG 2, CAMP ATTERBURY, IN 46124-5000
(812) 526-1499
(812) 526-1178
Mailing address
289 IRELAND AVE, ATTN: TREASURER OFFICE, FORT KNOX, KY 40121-5111
(502) 624-9274
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119981
PK
—
Enumeration date
04/13/2009
Last updated
06/02/2015
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