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Organization

MADISON VAMC

Active
Other names
MADISON VAMC PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization

Contact information

Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
(608) 280-7297
Mailing address
PO BOX 94485, CLEVELAND, OH 44101-4485
(608) 821-7200
(608) 821-7658

Taxonomy

Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5123322
NCPDP#
WI
Enumeration date
05/03/2006
Last updated
02/23/2023
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