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Organization

ACH WINN-FT STEWART

Active
Parent organization
ACH WINN-FT STEWART
Other names
STEWART CTMC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACH WINN-FT STEWART
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization

Contact information

Practice address
192 LINDQUIST RD, BLDG 412, FORT STEWART, GA 31314-5000
(912) 435-5424
(912) 435-5641
Mailing address
1061 HARMON AVE STE ID03, WINN-THIRD PARTY INSURANCE, FORT STEWART, GA 31314-5641
(912) 435-5424

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
2016287
PK
Enumeration date
09/20/2006
Last updated
03/14/2025
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