| NPI | 1982686036 |
|---|---|
| Doing Business As | VA OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | FEACHER LEROY WILLIAMS Chief Pharmacist 904-232-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 12760) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |