Organization
DURHAM VAMC
Active
Organization
DURHAM VAMC
Active
Other names
GREENVILLE NC 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
401 MOYE BLVD, GREENVILLE, NC 27834-2885
(252) 830-2149
(252) 830-2515
Mailing address
PO BOX 89482, CLEVELAND, OH 44101-6482
(828) 257-2333
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3464219
NCPDP
—
Enumeration date
10/20/2014
Last updated
12/10/2021
Update your record
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