Organization
MUNSON ARMY HEALTH CENTER
Active
Other names
MAHC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. APARNA BARBARA RAIZADA PHARM.D. (CHIEF, PHARMACY SERVICES)
(913) 684-6054
Entity
Organization
Contact information
Practice address
550 POPE AVE, BLDG 343, ROOM 1A146, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6054
Mailing address
550 POPE AVE, BLDG 343, ROOM 1A146, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6054
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W2P4AA
US ARMY MEDICAL COMMAND UIC
TX
Enumeration date
09/25/2014
Last updated
09/25/2014
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