Organization
MARTINEZ VAMC
Active
Other names
MATHER VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 366-5321
(916) 843-9025
Mailing address
PO BOX 94412, CLEVELAND, OH 44101-4412
(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
—
0575588
NCPDP#
CA
Enumeration date
05/04/2006
Last updated
04/16/2024
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