Organization
LEAVENWORTH VA CMOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SIEHR R.PH., MPA (DEPUTY CHIEF CONSULTANT PBM/CMOP)
(913) 758-4750
Entity
Organization
Contact information
Practice address
5000 13TH ST, LEAVENWORTH, KS 66048-5581
(913) 727-4860
(719) 727-4851
Mailing address
5000 13TH ST, LEAVENWORTH, KS 66048-5581
(913) 727-4860
(719) 727-4851
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1718595
NCPDP#
KS
Enumeration date
05/04/2006
Last updated
03/07/2023
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