Organization
BUFFALO VAMC
Active
Other names
CANANDAIGUA VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
400 FORT HILL AVE (119-B), CANANDAIGUA, NY 14424-1159
(585) 393-8050
(585) 393-8357
Mailing address
PO BOX 94434, CLEVELAND, OH 44101-4434
(717) 277-6567
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3334163
NCPDP#
NY
Enumeration date
05/01/2006
Last updated
01/11/2023
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