Organization
LAS VEGAS VAMC
Active
Other names
LAS VEGAS VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
6900 N PECOS RD., NORTH LAS VEGAS, NV 89086-4400
(702) 791-9061
(702) 224-6900
Mailing address
PO BOX 94408, CLEVELAND, OH 44101-4408
(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
—
2907092
NCPDP#
NV
Enumeration date
05/09/2006
Last updated
10/23/2018
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