Springfield Mo Va Clinic Pharmacy

LBN: Fayetteville Vamc
Springfield Mo Va Clinic Pharmacy is an health care organization with primary practice located at 1850 West Republic Rd , Springfield MO 65807-5730. 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. Fayetteville Vamc can be contacted via phone (479) 587-5912, or through Potter, Erin via phone (202) 382-2579.

Contact Information

Primary practice address
1850 West Republic Rd Springfield MO 65807-5730
Phone: (479) 587-5912
Fax: (479) 587-5875
Website:
Map and Directions
Authorized official contact:
Name: Potter, Erin
Phone: (202) 382-2579

Health care specialties

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

Profile Details

NPI number 1659547800
LBN Legal business name Fayetteville Vamc
DBA Doing business as Springfield Mo Va Clinic Pharmacy
Authorized official Potter, Erin
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2008
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659547800 NPPES
Missouri Other 2636263 NCPDP

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