Organization
AHC KENNER-FT GREGG-ADAMS
Active
Parent organization
AHC KENNER-FT GREGG-ADAMS
Other names
DOD FT GREGG-ADAMS TMC 2 PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AHC KENNER-FT GREGG-ADAMS
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
700 24TH ST, KENNER ARMY HEALTH CLINIC, FORT LEE, VA 23801-1716
(804) 734-9141
(804) 734-9658
Mailing address
300 CENTRAL AVE, BLDG 18036, FORT LEE, VA 23801-1526
(804) 734-9141
(804) 734-9658
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131194
PK
—
Enumeration date
07/21/2011
Last updated
05/30/2025
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