| NPI | 1073956926 |
|---|---|
| Other Name | FORT JACKSON |
| Entity Type | Organization |
| Authorized Contact | MARK W. MUSGRAVE CFO 915-591-9483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: DC 025315) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |