Organization
PHILADELPHIA VAMC
Active
Other names
PHILADELPHIA 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
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5764
(215) 823-4407
Mailing address
PO BOX 94446, CLEVELAND, OH 44101-4446
(717) 277-6568
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3921904
NCPDP#
PA
Enumeration date
05/08/2006
Last updated
01/04/2023
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