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Organization

PORTLAND VAMC

Active
Other names
VANCOUVER VAMC PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization

Contact information

Practice address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3713
(503) 220-8262
(360) 905-1776
Mailing address
PO BOX 94414, CLEVELAND, OH 44101-4414
(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
4932059
NCPDP
WA
Enumeration date
09/30/2006
Last updated
10/24/2024
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