Organization
ORLANDO VAMC
Active
Other names
DAYTONA BEACH VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1776 N WILLIAMSON BLVD, DAYTONA BEACH, FL 32117-5250
(386) 323-7500
(407) 513-9821
Mailing address
PO BOX 94471, CLEVELAND, OH 44101-4471
(866) 793-4591
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048645
NCPDP#
—
Enumeration date
09/09/2009
Last updated
04/19/2024
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