Organization
ST. CLOUD VAMC
Active
Other names
ST. CLOUD VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6345
(320) 268-9790
Mailing address
PO BOX 94461, CLEVELAND, OH 44101-4461
(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
—
2408195
NCPDP#
MN
Enumeration date
05/05/2006
Last updated
05/13/2025
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