Organization
MARTINSBURG VAMC
Active
Other names
MARTINSBURG VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
(304) 262-7439
Mailing address
PO BOX 89466, CLEVELAND, OH 44101-6466
(828) 257-2333
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5005423
NCPDP#
WV
Enumeration date
05/04/2006
Last updated
10/23/2018
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