Organization
LANCASTER VA CMOP
Active
Other names
US Dept of Veterans Affairs
Organization subpart
No
Provider details
NPI number
Authorized official
TIM STROUP (NATIONAL CMOP DIRECTOR)
(913) 758-4701
Entity
Organization
Contact information
Practice address
2962 S LONGHORN DR, LANCASTER, TX 75134-2118
(972) 228-6230
Mailing address
2962 S LONGHORN DR, LANCASTER, TX 75134-2118
(972) 228-6230
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4538976
NCPDP#
TX
Enumeration date
05/04/2006
Last updated
03/07/2023
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