Provider Demographics
NPI:1083800221
Name:SITTER-BARFOOT VETERANS CARE CENTER
Entity Type:Organization
Organization Name:SITTER-BARFOOT VETERANS CARE CENTER
Other - Org Name:SITTER AND BARFOOT VETERANS CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:GHULAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NESSAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-371-8000
Mailing Address - Street 1:1601 BROAD ROCK BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-4923
Mailing Address - Country:US
Mailing Address - Phone:804-371-8000
Mailing Address - Fax:804-230-2097
Practice Address - Street 1:1601 BROAD ROCK BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-4923
Practice Address - Country:US
Practice Address - Phone:804-371-8000
Practice Address - Fax:804-230-2097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
VA02010041983336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2106323OtherPK