Organization
LITTLE ROCK VAMC
Active
Other names
NORTH LITTLE ROCK VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-2900
(501) 257-2702
Mailing address
PO BOX 94499, CLEVELAND, OH 44101
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420339
NCPDP#
AR
Enumeration date
05/03/2006
Last updated
07/09/2019
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