Organization
ROSEBURG VAMC
Active
Other names
ROSEBURG VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
(541) 440-1204
Mailing address
PO BOX 94419, CLEVELAND, OH 44101-4419
(702) 341-3164
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3811862
NCPDP#
OR
Enumeration date
05/03/2006
Last updated
09/05/2019
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