Organization
ST. LOUIS JC VAMC
Active
Other names
CAPE GIRARDEAU VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
711 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6387
(573) 686-9605
(573) 778-4246
Mailing address
PO BOX 94462, CLEVELAND, OH 44101-4462
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2647622
NCPDP
—
Enumeration date
02/17/2022
Last updated
03/13/2026
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