Organization
MARTINEZ VAMC
Active
Other names
MCCLELLAN VA CBOC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
5342 DUDLEY BLVD BLDG 98, MCCLELLAN, CA 95652-1012
(916) 561-7455
(916) 843-9025
Mailing address
PO BOX 94412, CLEVELAND, OH 44101-4412
(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
—
0537920
NCPDP#
CA
Enumeration date
05/04/2006
Last updated
04/15/2024
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