Organization
MILWAUKEE VAMC
Active
Other names
Green Bay 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
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2567
(920) 431-2413
Mailing address
PO BOX 94489, CLEVELAND, OH 44101-4489
(608) 821-7200
(608) 821-7658
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5133943
NCPDP
—
Enumeration date
09/13/2013
Last updated
02/23/2023
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