Organization
KANSAS CITY VAMC
Active
Other names
LEAVENWORTH VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(785) 350-3111
(785) 350-4737
Mailing address
PO BOX 94458, CLEVELAND, OH 44101-4458
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1712911
NCPDP#
KS
Enumeration date
05/02/2006
Last updated
05/22/2024
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