Organization
CLEVELAND VAMC
Active
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
Update your record
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