Organization
NORTHPORT VAMC
Active
Other names
NORTHPORT 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
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 754-7917
Mailing address
PO BOX 94445, CLEVELAND, OH 44101-4445
(631) 261-4400
(631) 754-7917
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3322687
NCPDP#
NY
Enumeration date
05/03/2006
Last updated
01/11/2023
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