Organization
AMARILLO VAMC
Active
Organization
AMARILLO VAMC
Active
Other names
LUBBOCK VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
3510 4TH ST, LUBBOCK, TX 79415-9998
(806) 472-3458
(806) 472-3401
Mailing address
PO BOX 94400, CLEVELAND, OH 44101
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4530336
NCPDP#
TX
Enumeration date
05/04/2006
Last updated
05/31/2024
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