Rockford Va Cboc Pharmacy

LBN: Madison Vamc
Rockford Va Cboc Pharmacy is an health care organization with primary practice located at 816 Featherstone Rd , Rockford IL 61107-6300. 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. Madison Vamc can be contacted via phone (815) 227-0081, or through Potter, Erin via phone (202) 382-2579.

Contact Information

Primary practice address
816 Featherstone Rd Rockford IL 61107-6300
Fax: (815) 387-5314
Website:
Authorized official contact:
Name: Potter, Erin

Health care specialties

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

Profile Details

NPI number 1033177589
LBN Legal business name Madison Vamc
DBA Doing business as Rockford Va Cboc Pharmacy
Authorized official Potter, Erin
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Feb 23rd, 2023 - about 2 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 1033177589 NPPES
Illinois Other 1478444 NCPDP#

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