Organization
FRESNO VAMC
Active
Other names
FRESNO 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
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
(559) 241-6496
Mailing address
PO BOX 94410, CLEVELAND, OH 44101-4410
(702) 341-3020
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0550207
NCPDP#
CA
Enumeration date
05/02/2006
Last updated
03/07/2023
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