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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