Healthcare Provider Details

I. General information

NPI: 1891864054
Provider Name (Legal Business Name): AHC VILSECK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US KASERNE BLDG 5810 91522 KATTERBACH GERMANY
APO AE
09250
US

IV. Provider business mailing address

CMR 402 ERMC UBO BLDG 3700
APO AE
09180
US

V. Phone/Fax

Practice location:
  • Phone: 210-536-6650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332000000X
TaxonomyMilitary/U.S. Coast Guard Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HECTOR MORALES
Title or Position: DHA POD
Credential:
Phone: 210-536-6118