Fort Worth Va Clinic Pharmacy

LBN: Dallas Vamc
Fort Worth Va Clinic Pharmacy is an health care organization with primary practice located at 2201 Se Loop 820 , Fort Worth TX 76119-5863. The organization recently has only one registered license in Suppliers / Department of Veterans Affairs (VA) Pharmacy, which is considered as the primary health care specialty. Dallas Vamc can be contacted via phone (817) 730-0000, or through Potter, Erin via phone (202) 382-2579.

Contact Information

Primary practice address
2201 Se Loop 820 Fort Worth TX 76119-5863
Fax: (817) 730-0418
Website:
Authorized official contact:
Name: Potter, Erin

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Department of Veterans Affairs (VA) Pharmacy 332100000X

Profile Details

NPI number 1477511368
LBN Legal business name Dallas Vamc
DBA Doing business as Fort Worth Va Clinic Pharmacy
Authorized official Potter, Erin
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Oct 24th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477511368 NPPES
Texas Other 4518316 NCPDP#

Popular Providers