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NPI Code Detail

MEDICARE: BILOXI VAMC

MEDICARE: BILOXI 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
11099072OTHERFLNCPDP#

General Provider Information

NPI Number : 1891743134
Entity Type Code : Organization
Provider Name (Legal Business Name) : BILOXI VAMC
Provider Business Mailing Address
First Line : PO BOX 94492
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4492
Country : US
Telephone Number : 615-355-3451
Fax Number :
Provider Business Practice Location Address
First Line : 790 VETERANS WAY
Second Line :
City : PENSACOLA
State : FL
Zip : 32507-1000
Country : US
Telephone Number : 850-912-2109
Fax Number : 228-436-8063
Authorized Official
Title or Position : NPI TEAM
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/05/2006
Last Update Date : 04/11/2024

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Directions to “BILOXI VAMC ” Practice Location

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