Barquist Army Health Clinic | |
1434 Porter St Fort Detrick MD 21702-9254 | |
(301) 619-7175 | |
Not Available |
Full Name | Barquist Army Health Clinic |
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Speciality | Clinic/center - Community Health |
Location | 1434 Porter St, Fort Detrick, Maryland |
Authorized Official Name and Position | Prasathip Vongxay-sano (STAFF PHARMACIST) |
Authorized Official Contact | 3016197175 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Barquist Army Health Clinic 1434 Porter St Fort Detrick MD 21702-9254 Ph: () - | Barquist Army Health Clinic 1434 Porter St Fort Detrick MD 21702-9254 Ph: (301) 619-7175 |
NPI Number | 1821470774 |
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Provider Enumeration Date | 06/26/2015 |
Last Update Date | 06/26/2015 |
Identifier | Type | State | Issuer |
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1821470774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | 11850 (North Carolina) | Primary |