Organization
OMAHA VAMC
Active
Other names
LINCOLN VA CLINIC 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
420 VICTORY PARK DR, LINCOLN, NE 68510-2484
(402) 489-3802
(612) 725-1092
Mailing address
PO BOX 94460, CLEVELAND, OH 44101-4460
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2816924
NCPDP#
NE
Enumeration date
05/04/2006
Last updated
03/07/2023
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