AMC Eisenhower
Organization Active NPI Military/U.S. Coast Guard Pharmacy · Camp Shelby, MS
NPI 1417799503 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1417799503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military/U.S. Coast Guard Pharmacy 332000000X
- Legal business name
- AMC EISENHOWER
- Practice address
- Buldg 1442 16TH Street
BLDG 1442
Camp Shelby, MS 39407 - Phone
- (601) 558-4469
- NPI assigned
- Jun 10, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- AMC EISENHOWER
Authorized official
- Name
- Hector Morales
- Title
- Dha Pod
- Phone
- (210) 536-6118
Corporate family (same tax ID) 42
National Provider Directory
- Tax ID family
- Landstuhl Regional Medical Center
- Part of
- AMC Eisenhower
Locations
Bldg 1442 16TH ST
Hattiesburg, MS 39407
Phone (601) 558-4469
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Pharmacy | 332000000X | Yes |
Addresses
Primary practice location
Buldg 1442 16TH Street
BLDG 1442
Camp Shelby, MS 39407
Mailing address
Buldg 1442 16TH Street
BLDG 1442
Camp Shelby, MS 39407
Phone (601) 558-4469
Other names
- CAMP SHELBY TMC PHARMACY
Other providers in Camp Shelby, MS
All providers in Camp Shelby, MS · Military/U.S. Coast Guard Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.