# DEPARTMENT OF VETERANS AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356710594
- **Authorized official:** DR. THOMAS RYAN EMMENDORFER PHARMD (DEPUTY CHIEF CONSULTANT)
- **Authorized official phone:** (202) 461-7351

## Contact information

- **Practice address:** 810 VERMONT AVE NW, WASHINGTON, DC 20420-0001
- **Practice address phone:** (202) 461-7351
- **Mailing address:** 11509 HAVENNER RD, FAIRFAX STATION, VA 22039-1220
- **Mailing address phone:** (202) 461-7351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 5302030607 | MI | Yes |

## Other

- **Enumeration date:** 09/17/2015
- **Last updated:** 09/17/2015