Organization
ALEXANDER T AUGUSTA MED CTR-FT BELVOIR
Active
Parent organization
ALEXANDER T AUGUSTA MED CTR-FT BELVOIR
Other names
DOD DILORENZO PENTAGON PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALEXANDER T AUGUSTA MED CTR-FT BELVOIR
Authorized official
WILLIAM MICHAEL CONDON (DHA UBO)
(240) 401-3643
Entity
Organization
Contact information
Practice address
1501 DEFENSE PENTAGON, WASHINGTON, DC 20310-0001
(703) 692-8692
(703) 692-0899
Mailing address
NATIONAL NAVAL MEDICAL CTR, CO CDR PIUS AIYELAWO 8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(703) 692-8692
(703) 692-0899
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146335
PK
—
Enumeration date
06/19/2014
Last updated
05/30/2025
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