Organization
GAINESVILLE VAMC
Active
Other names
VILLAGES 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
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5884
(352) 674-5000
(352) 384-7961
Mailing address
PO BOX 140794, ORLANDO, FL 32814-0794
(407) 622-4142
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5702142
NCPDP
—
Enumeration date
09/29/2010
Last updated
05/31/2022
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