Organization
PHOENIX VAMC
Active
Other names
PHOENIX 3 VA CLINIC 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
400 N 32ND ST, PHOENIX, AZ 85008-6205
(602) 914-2900
(602) 914-2985
Mailing address
PO BOX 94413, CLEVELAND, OH 44101-4413
(702) 341-3152
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0365343
NCPDP
—
Enumeration date
01/28/2022
Last updated
05/22/2024
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