St. Louis Jc Vamc
NPI #1588622880 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1588622880
- Entity Type
- Organization
- Organization Name
- St. Louis Jc Vamc
- Primary Specialty
- Department of Veterans Affairs (VA) Pharmacy
- Enumeration Date
- May 3, 2006
- Last Updated
- Oct 23, 2018
Practice Location
- Address
- 1500 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3318
- Phone
- (573) 778-4245
Authorized Official
- Name
- ERIN DENISE POTTER
- Title
- NPI TEAM MEMBER
- Phone
- (202) 382-2579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Department of Veterans Affairs (VA) Pharmacy |
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