Organization
TUSCON VA CMOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SIEHR R.PH., MPA (DEPUTY CHIEF CONSULTANT PBM/CMOP)
(913) 758-4750
Entity
Organization
Contact information
Practice address
3675 E BRITANNIA DR, TUCSON, AZ 85706-5041
(520) 209-3115
(520) 209-3440
Mailing address
3675 E BRITANNIA DR, TUCSON, AZ 85706-5041
(520) 209-3115
(520) 209-3440
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0353019
NCPDP#
AZ
Enumeration date
05/04/2006
Last updated
03/07/2023
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