Organization
SAN ANTONIO VAMC
Active
Other names
SAN ANTONIO VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
7400 MERTON MINTER BLVD, SAN ANTONIO, TX 78229-4404
(210) 949-9490
(210) 443-0133
Mailing address
PO BOX 94546, CLEVELAND, OH 44101
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4537809
NCPDP#
TX
Enumeration date
05/03/2006
Last updated
10/30/2023
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