NPI age
19 years
Enumerated 2006-09-21
● Active Type 2 · Organization
Subpart
Amc Eisenhower
Amc Eisenhower is 1 of 21 military/u.s. coast guard pharmacy organizations in Georgia.
Primary specialty
Military/U.S. Coast Guard Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Morales
Dha Pod SR Program Analyst
Last NPPES update
2025-06-11
Source: monthly bulk 2026-05
How this organization compares
Across 21 active military/u.s. coast guard pharmacy providers in Georgia.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
Avenue B Bldg 29709, Mark Connelly Health Clinic
Ft Gordon, GA 30905
Mailing address
Eisenhower Army Medical Center, Attn McHf-Pad
Ft Gordon, GA 309055741
Authorized official
Hector Morales
Dha Pod SR Program Analyst
📞 2105366650
Specialties
-
Military/U.S. Coast Guard Pharmacy PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2020249 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
FT EISENHOWER CONNELLY PHARMACY
Practice context
Single-site organization. Only one practice location on file.
Subpart of Amc Eisenhower.
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