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NPI Code Detail

MEDICARE: AHC MCDONALD-EUSTIS

MEDICARE: AHC MCDONALD-EUSTIS
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
1332000000XMilitary/U.S. Coast Guard Pharmacy

General Provider Information

NPI Number : 1609339340
Entity Type Code : Organization
Provider Name (Legal Business Name) : AHC MCDONALD-EUSTIS
Provider Business Mailing Address
First Line : 576 JEFFERSON AVE
Second Line :
City : FORT EUSTIS
State : VA
Zip : 23604-1373
Country : US
Telephone Number : 757-914-6000
Fax Number :
Provider Business Practice Location Address
First Line : 5309 DISCOVERY PARK BLVD
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23188-2789
Country : US
Telephone Number : 757-914-6355
Fax Number : 757-914-6350
Authorized Official
Title or Position : MTF SUPPORT ANALYST
Name : ROSEMARY GONZALEZ
Credential :
Telephone Number : 210-536-6096
Provider Enumeration Date : 04/10/2019
Last Update Date : 05/30/2025

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Directions to “AHC MCDONALD-EUSTIS ” Practice Location

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