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NPI Code Detail

MEDICARE: TEMPLE VAMC

MEDICARE: TEMPLE VAMC
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
14529117OTHERTXNCPDP#

General Provider Information

NPI Number : 1538126651
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEMPLE VAMC
Provider Business Mailing Address
First Line : PO BOX 94551
Second Line :
City : CLEVELAND
State : OH
Zip : 44101
Country : US
Telephone Number : 615-355-3451
Fax Number :
Provider Business Practice Location Address
First Line : 7901 METROPOLIS DR
Second Line :
City : AUSTIN
State : TX
Zip : 78744-3111
Country : US
Telephone Number : 254-743-2802
Fax Number : 254-743-0020
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : MS. ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/01/2006
Last Update Date : 10/24/2018

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Directions to “TEMPLE VAMC ” Practice Location

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