Organization
SAN FRANCISCO VAMC
Active
Other names
SANTA ROSA 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
2285 CHALLENGER WAY, SANTA ROSA, CA 95407-9998
(415) 750-6937
(415) 750-2055
Mailing address
PO BOX 94417, CLEVELAND, OH 44101-4417
(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
—
0588698
NCPDP
CA
Enumeration date
08/23/2007
Last updated
06/27/2022
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