Organization
KANSAS CITY VAMC
Active
Other names
WICHITA VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
(316) 651-3615
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1712923
NCPDP#
KS
Enumeration date
05/04/2006
Last updated
04/05/2018
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