Organization
ALBUQUERQUE VAMC
Active
Other names
ALBUQUERQUE 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
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2789
Mailing address
PO BOX 89495, CLEVELAND, OH 44101-6495
(702) 341-3152
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3208899
NCPDP #
NM
Enumeration date
05/01/2006
Last updated
07/23/2019
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