Evansville Va Cboc Pharmacy

LBN: St. Louis Jc Vamc
Evansville Va Cboc Pharmacy is an health care organization with primary practice located at 6211 Waterford Blvd , Evansville IN 47715-2869. 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 (812) 474-3670, or through Potter, Erin Denise via phone (202) 382-2579.

Contact Information

Primary practice address
6211 Waterford Blvd Evansville IN 47715-2869
Phone: (812) 474-3670
Fax: (812) 474-3406
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 1851349062
LBN Legal business name St. Louis Jc Vamc
DBA Doing business as Evansville Va Cboc Pharmacy
Authorized official Potter, Erin Denise
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Oct 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851349062 NPPES
Indiana Other 1560095 NCPDP#

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