St. Louis Jc Vamc

NPI #1750349429 in Marion, Illinois

Provider Information

NPI Number
1750349429
Entity Type
Organization
Organization Name
St. Louis Jc Vamc
Primary Specialty
Department of Veterans Affairs (VA) Pharmacy
Enumeration Date
May 3, 2006
Last Updated
Jan 23, 2020

Practice Location

Address
2401 W MAIN ST
City
Marion
ZIP Code
62959-1188
Phone
(618) 997-5311

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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