Organization
AUGUSTA VAMC
Active
Other names
AUGUSTA 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
950 15TH STREET, AUGUSTA, GA 30901-2608
(706) 733-0188
(706) 731-3281
Mailing address
PO BOX 89454, CLEVELAND, OH 44101-6454
(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
—
1147912
NCPDP#
GA
Enumeration date
05/01/2006
Last updated
02/24/2022
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