Organization
MILWAUKEE VAMC
Active
Other names
APPLETON VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
(920) 831-7928
Mailing address
PO BOX 94489, CLEVELAND, OH 44101-4489
(608) 821-7200
(608) 821-7658
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5128649
NCPDP
—
Enumeration date
03/14/2008
Last updated
02/23/2023
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