Organization
HINES VAMC
Active
Other names
HINES VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-7845
(708) 202-7408
Mailing address
PO BOX 94482, CLEVELAND, OH 44101-4482
(608) 821-7200
(608) 821-7658
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1475145
NCPDP#
NY
Enumeration date
05/04/2006
Last updated
02/23/2023
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