Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RYAN EMMENDORFER PHARMD (DEPUTY CHIEF CONSULTANT)
(202) 461-7351
Entity
Organization
Contact information
Practice address
810 VERMONT AVE NW, WASHINGTON, DC 20420-0001
(202) 461-7351
Mailing address
11509 HAVENNER RD, FAIRFAX STATION, VA 22039-1220
(202) 461-7351
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
5302030607
MI
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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