Organization
MARTINEZ VAMC
Active
Other names
FRENCH CAMP VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
6505 S MANTHEY RD, FRENCH CAMP, CA 95231-9518
(209) 851-7302
(916) 743-9025
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
—
5682996
NCPDP
—
Enumeration date
03/14/2024
Last updated
10/24/2024
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