Organization
VETERAN AFFAIRS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCINE FARNSWORTH (CHIEF PF PHARMACY)
(215) 823-6321
Entity
Organization
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
PR028557L
PA
302R00000X
Health Maintenance Organization
Primary
RP028557L
PA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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