Organization
FORT MEADE VAMC
Active
Other names
FORT MEADE VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-7158
(605) 347-7207
Mailing address
PO BOX 94456, CLEVELAND, OH 44101-4456
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4304806
NCPDP#
SD
Enumeration date
05/02/2006
Last updated
05/22/2024
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