Organization
MURFREESBORO 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
5171 SAM JARED DR, MURFREESBORO, TN 37130-1382
(615) 867-6149
(615) 867-5799
Mailing address
5171 SAM JARED DR, MURFREESBORO, TN 37130-1382
(615) 867-6149
(615) 867-5799
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4438621
NCPDP#
TN
Enumeration date
05/04/2006
Last updated
03/07/2023
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