Organization
SAN DIEGO VAMC
Active
Other names
SAN DIEGO VAMC 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
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 642-1669
(858) 552-7522
Mailing address
PO BOX 94416, CLEVELAND, OH 44101-4416
(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
—
0574978
NCPDP#
CA
Enumeration date
05/03/2006
Last updated
12/23/2021
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