NPI 1205242310
Ft Meade Meddac
Practice location
- Address
- 1434 Porter St, Frederick, MD 21702-9254
- Phone
- (301) 619-6710
- Fax
- (301) 619-6286
- Mailing address
- Kimbrough Acc Military Mtf C/O Cdr Usameddac McXr-Bd 2480 Luwellyn Ave STE 5800, Ft Meade, MD 20755-5129
Authorised official
- Name
- Hector Morales
- Title
- Chief Dha Pass
- Phone
- (210) 536-6650
Registered specialties
Military/U.S. Coast Guard Pharmacy
Primary
Registry record
- NPI
- 1205242310
- Entity type
- Organization
- NPI issued
- 9 Jul 2014
- Record last updated
- 30 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.