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Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RYAN EMMENDORFER PHARMD (DEPUTY CHIEF CONSULTANT)
(202) 461-7351
Entity
Organization
Contact information
Practice address
810 VERMONT AVE NW, WASHINGTON, DC 20420-0001
(202) 461-7351
Mailing address
11509 HAVENNER RD, FAIRFAX STATION, VA 22039-1220
(202) 461-7351
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
5302030607
MI
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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