Provider Demographics
NPI:1467551754
Name:AMC WOMACK-FT BRAGG
Entity type:Organization
Organization Name:AMC WOMACK-FT BRAGG
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF DHA PASS
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-536-6650
Mailing Address - Street 1:2817 REILLY ST
Mailing Address - Street 2:MCXC-DBO-UBO WAMC STOP A
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-7324
Mailing Address - Country:US
Mailing Address - Phone:910-907-8537
Mailing Address - Fax:
Practice Address - Street 1:383 MAYNARD ST
Practice Address - Street 2:
Practice Address - City:POPE AFB
Practice Address - State:NC
Practice Address - Zip Code:28308
Practice Address - Country:US
Practice Address - Phone:910-394-2208
Practice Address - Fax:910-394-1266
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMC WOMACK-FT BRAGG
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-22
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2068366OtherPK
1871810044OtherFACILITY NPI
0465YOtherBCBS PHARMACY ID
1740377423OtherPARENT FACILITY NPI
VAD000Medicare UPIN
OTH000Medicare UPIN