Organization
CLEVELAND VAMC
Active
Other names
YOUNGSTOWN 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
1815 BELMONT AVE, YOUNGSTOWN, OH 44504-1106
(330) 740-9200
(330) 740-9240
Mailing address
PO BOX 94477, CLEVELAND, OH 44101-4477
(608) 821-7200
(608) 821-7658
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3674288
NCPDP
OH
Enumeration date
08/28/2007
Last updated
02/24/2023
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