Organization
BILOXI VAMC
Active
Other names
BILOXI VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5430
(228) 436-8063
Mailing address
PO BOX 94492, CLEVELAND, OH 44101-4492
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2517350
NCPDP#
MS
Enumeration date
05/01/2006
Last updated
04/11/2024
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