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Ft Meade Meddac — NPI 1437563871, Fort Meade, MD | NPI Central

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NPI 1437563871

OrganizationActive

Ft Meade Meddac

NPI 1437563871 · Military/U.S. Coast Guard Pharmacy · Fort Meade, MD

Provider details

NPI number: 1437563871
Entity type: Organization
Primary specialty: Military/U.S. Coast Guard PharmacySuppliers
Parent organization: Ft Meade Meddac
Organization subpart: Yes
Authorized official: Hector Morales, Chief Dha Pass(210) 536-6650

Specialties & taxonomies

Military/U.S. Coast Guard PharmacyPrimary332000000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

2480 Llewellyn Ave Ste 5800

Kimbrough Ambulatory Care Center

Fort Meade, MD 20755-5129

Phone: (301) 677-8800

Fax: (301) 677-8456

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

Kimbrough Acc Military Mtf

Ft Meade, MD 20755-5129

Other names (DBA / former)

Doing business as: Dod Ft Meade Pharmacy
Doing business as: Dod Ft Meade Ephcy

Registry dates

Enumerated: 2014-06-13
Last updated: 2025-05-30
Certified: 2025-05-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.