NPI 1215036983

Amc Eisenhower

Organisation Military/U.S. Coast Guard Pharmacy Ft Gordon, GA

Practice location

Address: Avenue B Bldg 29709 Mark Connelly Health Clinic, Ft Gordon, GA 30905
Phone: (706) 787-5167
Fax: (706) 787-6175
Mailing address: Eisenhower Army Medical Center Attn McHf-Pad, Ft Gordon, GA 30905-5741

Authorised official

Name: Hector Morales
Title: Dha Pod Sr Program Analyst
Phone: (210) 536-6650

Registered specialties

Military/U.S. Coast Guard Pharmacy Primary

Suppliers Taxonomy 332000000X

Other Military/U.S. Coast Guard Pharmacy providers in Georgia →

Registry record

NPI: 1215036983
Entity type: Organization
NPI issued: 21 Sep 2006
Record last updated: 11 Jun 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.