Organization
ROSEBURG VAMC
Active
Other names
EUGENE 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
3355 CHAD DRIVE, EUGENE, OR 97408-7428
(458) 205-7916
(541) 607-7467
Mailing address
PO BOX 94419, CLEVELAND, OH 44101-4419
(702) 341-3164
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCPDP
3845774
—
Enumeration date
02/29/2016
Last updated
01/08/2021
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