| Barquist Army Health Clinic | |
|
1434 Porter St Fort Detrick MD 21702-9254 | |
| (301) 619-7175 | |
| Not Available |
| Full Name | Barquist Army Health Clinic |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/26/2015 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821470774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 11850 (North Carolina) | Primary |