Marion Il Vamc Pharmacy

LBN: St. Louis Jc Vamc
Marion Il Vamc Pharmacy is an health care organization with primary practice located at 2401 W Main St , Marion IL 62959-1188. 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. St. Louis Jc Vamc can be contacted via phone (618) 997-5311, or through Potter, Erin Denise via phone (202) 382-2579.

Contact Information

Primary practice address
2401 W Main St Marion IL 62959-1188
Phone: (618) 997-5311
Fax: (618) 997-8212
Website:
Map and Directions
Authorized official contact:
Name: Potter, Erin Denise
Phone: (202) 382-2579

Health care specialties

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

Profile Details

NPI number 1750349429
LBN Legal business name St. Louis Jc Vamc
DBA Doing business as Marion Il Vamc Pharmacy
Authorized official Potter, Erin Denise
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Jan 23rd, 2020 - about 4 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 1750349429 NPPES
Illinois Other 1469471 NCPDP#

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