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General NPI Number Information
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NPI Number | 1336248798
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Entity Type | Organization
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Legal Business Name | AHC GUTHRIE-DRUM
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | P10506 SECOND ST
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City | FT DRUM
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State | NY
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Zip | 13602
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Country | US
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Telephone | 315-722-4017
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Fax | 315-722-4018
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Provider Business Mailing Address
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Address Line | P10506 SECOND ST
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City | FT DRUM
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State | NY
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Zip | 13602
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Country | US
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Telephone | 315-722-4017
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Fax | 315-722-4018
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Authorized Official
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Title or Position | CHIEF DHA PASS
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Name | HECTOR MORALES
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Credential |
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Telephone | 210-536-6650
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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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