Organization
NASHVILLE VAMC
Active
Other names
CHATTANOOGA VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
6401 SHALLOWFORD RD, CHATTANOOGA, TN 37421-5406
(615) 873-7675
(615) 873-8221
Mailing address
PO BOX 94525, CLEVELAND, OH 44101
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4439584
NCPDP
TN
Enumeration date
05/16/2006
Last updated
02/26/2021
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