# V.A. MED CENTER

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

## Provider details

- **NPI number:** 1912005943
- **Authorized official:** MR. KENNETH A. BOEKLEY RPH (PHARMACIST)
- **Authorized official phone:** (513) 861-3100

## Contact information

- **Practice address:** 3200 VINE ST, CINCINNATI, OH 45220-2213
- **Practice address phone:** (513) 861-3100
- **Mailing address:** 9974 PEBBLEKNOLL DR, CINCINNATI, OH 45252-2108
- **Mailing address phone:** (513) 385-4033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 03-3-11821 | OH | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 07/21/2022