Organization
BAY PINES VAMC
Active
Other names
CAPE CORAL VA CBOC 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
2489 DIPLOMAT PARKWAY EAST, CAPE CORAL, FL 33909-5422
(239) 652-1800
(239) 652-1940
Mailing address
PO BOX 94465, CLEVELAND, OH 44101-4465
(866) 793-4591
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015090
NCPDP#
FL
Enumeration date
05/02/2006
Last updated
03/28/2023
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