Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amc Eisenhower

Organization Military/U.S. Coast Guard Pharmacy · NPI 1215036983

Amc Eisenhower is a Military/U.S. Coast Guard Pharmacy in Ft Gordon, Georgia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

Avenue B Bldg 29709 Mark Connelly Health Clinic
Ft Gordon, GA 30905
Phone: (706) 787-5167
Fax: (706) 787-6175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military/U.S. Coast Guard Pharmacy (primary) Taxonomy 332000000X

Record details

NPI number1215036983
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAmc Eisenhower
Authorized official Hector Morales — Dha Pod Sr Program Analyst · (210) 536-6650
Other names Ft Eisenhower Connelly Pharmacy
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing addressEisenhower Army Medical Center, Attn McHf-Pad, Ft Gordon, GA 30905-5741

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