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NPI Code Detail

MEDICARE: LANCASTER VA CMOP

MEDICARE: LANCASTER VA CMOP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332100000XDepartment of Veterans Affairs (VA) Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14538976OTHERTXNCPDP#

General Provider Information

NPI Number : 1184672941
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANCASTER VA CMOP
Provider Business Mailing Address
First Line : 2962 S LONGHORN DR
Second Line :
City : LANCASTER
State : TX
Zip : 75134-2118
Country : US
Telephone Number : 972-228-6230
Fax Number :
Provider Business Practice Location Address
First Line : 2962 S LONGHORN DR
Second Line :
City : LANCASTER
State : TX
Zip : 75134-2118
Country : US
Telephone Number : 972-228-6230
Fax Number :
Authorized Official
Title or Position : NATIONAL CMOP DIRECTOR
Name : TIM STROUP
Credential :
Telephone Number : 913-758-4701
Provider Enumeration Date : 05/04/2006
Last Update Date : 03/07/2023

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Directions to “LANCASTER VA CMOP ” Practice Location

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