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Organization

MARTINEZ VAMC

Active
Organization subpart
No

Provider details

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

Contact information

Practice address
2221 MARTIN LUTHER KING JR WAY, OAKLAND, CA 94612-1318
(707) 562-8202
Mailing address
PO BOX 94412, CLEVELAND, OH 44101-4412
(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
0575526
NCPDP#
CA
Enumeration date
05/04/2006
Last updated
04/05/2018
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