Organization · Type 2 NPI
Amc Eisenhower
Military/U.S. Coast Guard Pharmacy · Fort Gordon, GA
Practice location
Avenue B Bldg 29709, Mark Connelly Health Clinic
Fort Gordon, GA 30905
Fax (706) 787-6175
Mailing address
Eisenhower Army Medical Center, Attn Mchf-Pad
Fort Gordon, GA 30905-5741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military/U.S. Coast Guard Pharmacy Primary | 332000000X | None listed |
Military/U.S. Coast Guard Pharmacy: A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Other military/u.s. coast guard pharmacy providers in Fort Gordon
About NPI 1215036983
Amc Eisenhower's National Provider Identifier is 1215036983, issued on Sep 21, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Fort Gordon, GA. The record was last updated on Jun 11, 2025.