Organization
ST. LOUIS JC VAMC
Active
Organization
ST. LOUIS JC VAMC
Active
Other names
ST. LOUIS JB 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
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 894-6501
(314) 894-5731
Mailing address
PO BOX 94462, CLEVELAND, OH 44101-4462
(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
—
2629509
NCPDP#
MO
Enumeration date
05/04/2006
Last updated
07/09/2019
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