Organization
SALT LAKE CITY VAMC
Active
Organization
SALT LAKE CITY VAMC
Active
Other names
SALT LAKE CITY 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
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2530
Mailing address
PO BOX 94463, CLEVELAND, OH 44101-4463
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4608658
NCPDP#
UT
Enumeration date
05/03/2006
Last updated
10/24/2018
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