Organization
V.A. MED CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH A. BOEKLEY RPH (PHARMACIST)
(513) 861-3100
Entity
Organization
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Mailing address
9974 PEBBLEKNOLL DR, CINCINNATI, OH 45252-2108
(513) 385-4033
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
03-3-11821
OH
Other
Enumeration date
09/21/2006
Last updated
07/21/2022
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