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General NPI Number Information
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NPI Number | 1316243744
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Entity Type | Organization
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Legal Business Name | AMC MADIGAN-FT LEWIS
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Dates
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Enumeration Date | 02/02/2011
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 10507 156TH ST E SUITE 112
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City | PUYALLUP
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State | WA
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Zip | 98374-9361
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Country | US
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Telephone | 253-307-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 9040A JACKSON AVE ATTN: MCHJ-CSA-U
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-968-6598
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Fax |
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Authorized Official
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Title or Position | DEPUTY DIRECTOR OF PHARMACY OPS
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Name | HECTOR MORALES
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Credential |
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Telephone | 210-221-8274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332000000X
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Taxonomy Name | Military/U.S. Coast Guard Pharmacy
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License Number |
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License Number State |
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