Va Cmop

NPI #1730344318 in Lancaster, Texas

Provider Information

NPI Number
1730344318
Entity Type
Organization
Organization Name
Va Cmop
Primary Specialty
Clinic/Center - VA
Enumeration Date
Jul 23, 2008
Last Updated
Jul 23, 2008

Practice Location

Address
2962 S LONGHORN DR
State
Texas
ZIP Code
75134-2118
Phone
(972) 228-6230

Authorized Official

Name
MS. YOLANDA DENISE DORSEY
Title
CERTIFIED PHARMACY TECHNICIAN
Phone
(972) 228-6230

Specialties & Taxonomy Codes

Specialty
Clinic/Center - VAVA

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