Organization
LEBANON VAMC
Active
Other names
Lebanon VAMC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1700 S LINCOLN AVENUE, LEBANON, PA 17042-7529
(717) 272-6621
(717) 228-6012
Mailing address
PO BOX 94440, CLEVELAND, OH 44101-4440
(717) 277-6568
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981912
NCPDP#
PA
Enumeration date
05/02/2006
Last updated
01/04/2023
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