Organization
ORLANDO VAMC
Active
Other names
VIERA VA CBOC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
2900 VETERANS WAY, VIERA, FL 32940-8007
(321) 637-3788
(321) 637-3636
Mailing address
PO BOX 94471, CLEVELAND, OH 44101-4471
(866) 793-4591
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048607
NCPDP#
—
Enumeration date
09/09/2009
Last updated
03/27/2023
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