Healthcare Provider Details

I. General information

NPI: 1124386644
Provider Name (Legal Business Name): U.S. ARMY MEDICAL MATERIEL CENTER EUROPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2012
Last Update Date: 05/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CMR 434 BOX 0000 BLDG 4108
APO AE
09138
US

IV. Provider business mailing address

CMR 434
APO AE
09138
US

V. Phone/Fax

Practice location:
  • Phone: 314-495-7230
  • Fax:
Mailing address:
  • Phone: 011496331867230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL RONN
Title or Position: C, CLINICAL ADVISORY DIVISION
Credential: PHARM. D.
Phone: 011496331867230