Organization
WALTER REED NATIONAL MILITARY MED CENTER
Active
Other names
MECHANICSBURG BMC PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
5450 CARLISLE PIKE, MECHANICSBURG, PA 17050-2411
(717) 605-3409
(717) 605-4817
Mailing address
5450 CARLISLE PIKE, MECHANICSBURG, PA 17050-2411
(717) 605-3409
(717) 605-4817
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
—
2085583
PK
—
Enumeration date
09/20/2006
Last updated
12/31/2015
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