NPI 1750349429
St. Louis Jc Vamc
Practice location
- Address
- 2401 W Main St, Marion, IL 62959-1188
- Phone
- (618) 997-5311
- Fax
- (618) 997-8212
- Mailing address
- PO Box 94462, Cleveland, OH 44101-4462
Authorised official
- Name
- Erin Denise Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Registered specialties
Department of Veterans Affairs (VA) Pharmacy
Primary
Registry record
- NPI
- 1750349429
- Entity type
- Organization
- NPI issued
- 3 May 2006
- Record last updated
- 23 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.