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Organization

ST. LOUIS JC VAMC

Active
Other names
ST. LOUIS JC 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
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(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
2636009
NCPDP
MO
Enumeration date
12/07/2007
Last updated
07/09/2019
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