Organization
ACH BLANCHFIELD-FT CAMPBELL
Active
Parent organization
ACH BLANCHFIELD-FT CAMPBELL
Other names
CAMPB CBPCC SE PHCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACH BLANCHFIELD-FT CAMPBELL
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
CBPCC- GATEWAY PHARMACY, MEDICAL OFFICE BULDG ONE 647 DUNLOP LANE , SUITE 301, CLARRKSVILLE, TN 37040-0000
(270) 798-8060
Mailing address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8060
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127486
PK
—
Enumeration date
11/02/2010
Last updated
06/12/2025
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