Hines Va Cmop

NPI #1700834116 in Hines, Illinois

Provider Information

NPI Number
1700834116
Entity Type
Organization
Organization Name
Hines Va Cmop
Primary Specialty
Department of Veterans Affairs (VA) Pharmacy
Enumeration Date
May 5, 2006
Last Updated
Mar 7, 2023

Practice Location

Address
5000 S 5TH AVE
Address 2
BLDG. 37
City
Hines
ZIP Code
60141-3030
Phone
(708) 786-7821

Authorized Official

Name
KENNETH SIEHR, R.PH., MPA
Title
DEPUTY CHIEF CONSULTANT PBM/CMOP
Phone
(913) 758-4750

Specialties & Taxonomy Codes

Specialty
Department of Veterans Affairs (VA) Pharmacy

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