Organization
WHITE CITY VAMC
Active
Organization
WHITE CITY VAMC
Active
Other names
WHITE CITY VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 830-7563
(541) 830-3504
Mailing address
PO BOX 94425, CLEVELAND, OH 44101-4425
(702) 341-3164
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3812206
NCPDP#
OR
Enumeration date
05/04/2006
Last updated
09/05/2019
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