Organization
SAN FRANCISCO VAMC
Active
Other names
OAKLAND VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
2221 MARTIN LUTHER KING JR WAY, OAKLAND, CA 94612-1318
(510) 267-7836
(510) 267-7879
Mailing address
PO BOX 94417, CLEVELAND, OH 44101-4417
(702) 341-3020
(702) 341-3503
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5675573
NCPDP
—
Enumeration date
06/01/2021
Last updated
05/22/2024
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