Organization
MONTANA VAMC
Active
Other names
MILES CITY VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN D POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
210 S WINCHESTER AVE, MILES CITY, MT 59301-4757
(406) 874-5859
(406) 874-5866
Mailing address
PO BOX 94451, CLEVELAND, OH 44101-4451
(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
—
2784076
NCPDP
—
Enumeration date
01/30/2015
Last updated
06/27/2019
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