Ahc Lyster-Rucker

Organization Active NPI Military/U.S. Coast Guard Pharmacy · Fort Novosel, AL

NPI 1982010351 · NPPES record last updated Jun 24, 2025

Key facts

NPI
1982010351
Entity type
Organization (NPI type 2)
Primary specialty
Military/U.S. Coast Guard Pharmacy 332000000X
Legal business name
AHC LYSTER-RUCKER
Practice address
301 Andrews Avenue
Fort Novosel, AL 36362-5350
Phone
(334) 225-7181
Fax
(334) 225-7176
NPI assigned
Jul 7, 2014
Organization subpart
Yes
Parent organization (as reported)
AHC LYSTER-RUCKER

Authorized official

Name
Hector Morales
Title
Chief Dha Pass
Phone
(210) 536-6650

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lyster Army Health Clinic (3 organizations share this tax ID)
Part of
Lyster Army Health Clinic

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X Yes

Addresses

Primary practice location

301 Andrews Avenue
Fort Novosel, AL 36362-5350

Mailing address

United States Army Areomedical Center
301 Andrews Avenue C/O Attn McXy-RM-TPCP
Ft Novosel, AL 36362
Phone (334) 225-7181

Other identifiers

IdentifierTypeStateIssuer
2146669OtherPK

Other names

  • DOD FT NOVOSEL PHARMACY Doing business as

Other providers in Fort Novosel, AL

All providers in Fort Novosel, AL · Military/U.S. Coast Guard Pharmacy in Alabama

Sources for this page

Verify at the official NPI Registry.