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Organization

JAMES A.HALEY VA HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUBINA WEST (PHARMACY TECHNICIAN)
(727) 204-0376
Entity
Organization

Contact information

Practice address
6465 142ND AVE N APT X205, CLEARWATER, FL 33760-2785
(727) 204-0376
Mailing address
6465 142ND AVE N APT X205, CLEARWATER, FL 33760-2785
(727) 204-0376

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
10032382
DC
261QV0200X
VA Clinic/Center
Primary
RPT 52320
FL

Other

Enumeration date
03/20/2015
Last updated
03/20/2015
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