Organization
PALO ALTO VAMC
Active
Other names
MENLO PARK VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
795 WILLOW RD, MENLO PARK, CA 94025-2539
(650) 849-1292
(650) 858-3989
Mailing address
PO BOX 94415, CLEVELAND, OH 44101-4415
(702) 341-3020
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5600196
NCPDP#
CA
Enumeration date
05/04/2006
Last updated
10/23/2018
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