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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