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NPI Code Detail

MEDICARE: DEPARTMENT OF DEFENSE

MEDICARE: DEPARTMENT OF DEFENSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1286500000XMilitary Hospital0313389OH

General Provider Information

NPI Number : 1649627605
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEPARTMENT OF DEFENSE
Provider Business Mailing Address
First Line : 1925 ASHLAND CITY RD APT 408
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37043-5298
Country : US
Telephone Number : 513-307-6312
Fax Number :
Provider Business Practice Location Address
First Line : 650 JOEL DR
Second Line : BLANCHFIELD ARMY COMMUNITY HOSPITAL (IP-PHARMACY)
City : FORT CAMPBELL
State : KY
Zip : 42223-5318
Country : US
Telephone Number : 270-798-8069
Fax Number :
Authorized Official
Title or Position : STAFF PHARMACIST
Name : MR. JOHN KENNETH SANDERS
Credential : RPH
Telephone Number : 270-798-8069
Provider Enumeration Date : 05/19/2016
Last Update Date : 05/19/2016

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Directions to “DEPARTMENT OF DEFENSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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