Organization
ATLANTA VAMC
Active
Other names
ATLANTA VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1670 CLAIRMONT ROAD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 235-3053
Mailing address
PO BOX 89498, CLEVELAND, OH 44101-6498
(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
—
1119672
NCPDP#
GA
Enumeration date
05/01/2006
Last updated
02/08/2022
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