Organization
COLUMBIA VAMC
Active
Other names
GREENVILLE SC 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
41 PARK CREEK DRIVE, GREENVILLE, SC 29605-4270
(864) 299-1600
(803) 695-8300
Mailing address
PO BOX 89478, CLEVELAND, OH 44101-6478
(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
—
4226228
NCPDP
SC
Enumeration date
05/02/2006
Last updated
07/28/2020
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