OrganizationActive
Florida Department of Veterans' Affairs
NPI 1356083075 · Department of Veterans Affairs (VA) Pharmacy · Port St. Luice, FL
Provider details
- NPI number
- 1356083075
- Entity type
- Organization
- Primary specialty
- Department of Veterans Affairs (VA) PharmacySuppliers
- Parent organization
- Florida Department of Veterans' Affairs
- Organization subpart
- Yes
- Authorized official
- Connie Tolley, Director Fdva Homes(727) 518-3203
Specialties & taxonomies
Suppliers
Practice location
13000 Se Tradition Parkway
Port St. Luice, FL 34987
Phone: (772) 241-6132
Approximate (ZIP-level) locationGet directions
Mailing address
13000 Se Tradition Parkway
Port St. Luice, FL 34987
Other names (DBA / former)
- Doing business as
- Ardie R. Copas State Veterans Nursing Home - Pharmacy
Registry dates
- Enumerated
- 2022-04-12
- Last updated
- 2022-04-12
- Certified
- 2022-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.