Organization
HOUSTON VAMC
Active
Other names
BEAUMONT VA CBOC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
3420 VETERANS CIR, BEAUMONT, TX 77707-2552
(409) 981-8570
(409) 981-8569
Mailing address
PO BOX 94495, 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
—
4547913
NCPDP
TX
Enumeration date
07/18/2008
Last updated
07/25/2019
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