Organization
CHARLESTON VAMC
Active
Other names
CHARLESTON VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
109 BEE STREET, CHARLESTON, SC 29401-5703
(843) 789-7339
(843) 789-7903
Mailing address
PO BOX 89425, CLEVELAND, OH 44101-6425
(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
—
4224628
NCPDP#
SC
Enumeration date
05/02/2006
Last updated
02/08/2022
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