Vamc 565 Wilmington HCC
Organization Active NPI VA Clinic/Center · Wilmington, NC
NPI 1124487319 · NPPES record last updated Feb 16, 2016
Key facts
- NPI
- 1124487319
- Entity type
- Organization (NPI type 2)
- Primary specialty
- VA Clinic/Center 261QV0200X
- Legal business name
- VAMC 565 WILMINGTON HCC
- Practice address
- 1705 Gardner Road
VA Pharmacy
Wilmington, NC 28405 - Phone
- (910) 343-5334
- Fax
- (910) 254-4055
- NPI assigned
- Feb 16, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew J Vitt, PHARMD
- Title
- Pharmacy Supervisor
- Phone
- (910) 343-5334
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Fayetteville Vamc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Yes |
Addresses
Primary practice location
1705 Gardner Road
VA Pharmacy
Wilmington, NC 28405
Mailing address
1705 Gardner Road
VA Pharmacy
Wilmington, NC 28405
Phone (910) 343-5334
Other providers in Wilmington, NC
- Lauren Valigosky
- Amy Sue Valimont
- Sahaj D Vallabh
- Ana Valle-Greene
- Kelsey Lynn Vallee
- Carole Van Camp
- Kelly B Van Campen
- Robert Alan Van Der Vaart
- Alaina Louise Van Gelder
- Derek Jon Van Houzen
All providers in Wilmington, NC · VA Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.