Organization · Type 2 NPI

FT Meade Meddac

Military/U.S. Coast Guard Pharmacy · Fairfield, PA

NPI number 1639938368 Active

Practice location

Raven Rock Mountain Complex, 450 Harbaugh Valley Road
Fairfield, PA 17214

Call (717) 878-5252 Map

Fax (301) 677-8456

Mailing address

Raven Rock Mountain Medical Clinic 2A32, 1155 Defense Pentagon
Washington, Dc, DC 20301-1155

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.

NPI record

NPI: 1639938368
Entity type: Organization (Type 2)
Issued: Mar 15, 2024
Last updated: May 30, 2025
Status: Active
Subpart: Yes of FT Meade Meddac

Other names

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Raven Rock Pharmacy · doing business as
Raven Rock Pharmacy · doing business as

Authorized official

Hector Morales
Dha Pod SR Program Analyst
(210) 536-6650

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639938368

FT Meade Meddac's National Provider Identifier is 1639938368, issued on Mar 15, 2024. The primary taxonomy on file is Military/U.S. Coast Guard Pharmacy (332000000X), and the practice location is in Fairfield, PA. The record was last updated on May 30, 2025.