Ft Meade Meddac
NPI #1639938368 in Fairfield, Pennsylvania
Provider Information
- NPI Number
- 1639938368
- Entity Type
- Organization
- Organization Name
- Ft Meade Meddac
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FT MEADE MEDDAC
- Primary Specialty
- Military/U.S. Coast Guard Pharmacy
- Enumeration Date
- Mar 15, 2024
- Last Updated
- May 30, 2025
Practice Location
- Address
- RAVEN ROCK MOUNTAIN COMPLEX
- Address 2
- 450 HARBAUGH VALLEY ROAD
- City
- Fairfield
- State
- Pennsylvania
- ZIP Code
- 17214
- Phone
- (717) 878-5252
Authorized Official
- Name
- HECTOR MORALES
- Title
- DHA POD SR PROGRAM ANALYST
- Phone
- (210) 536-6650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military/U.S. Coast Guard Pharmacy |
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