Organization
FAYETTEVILLE VAMC
Active
Other names
FAYETTEVILLE NC 3 VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
7300 S RAEFORD RD, FAYETTEVILLE, NC 28304-6162
(910) 488-2120
(910) 475-6227
Mailing address
PO BOX 89494, CLEVELAND, OH 44101-6494
(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
—
3465689
NCPDP
—
Enumeration date
10/12/2015
Last updated
07/01/2020
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