Organization
OKLAHOMA CITY VAMC
Active
Other names
LAWTON VA CBOC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
4303 PITTMAN & THOMAS ROAD, BLDG 4303, FORT SILL, OK 73503-4473
(580) 351-6511
(580) 351-6526
Mailing address
PO BOX 94537, CLEVELAND, OH 44101-4537
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3723738
NCPDP
OK
Enumeration date
06/04/2007
Last updated
09/23/2020
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