Organization
CHEYENNE VAMC
Active
Other names
CHEYENNE VAMC 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
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
(307) 778-7588
Mailing address
PO BOX 94454, CLEVELAND, OH 44101-4454
(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
—
5203651
NCPDP#
WY
Enumeration date
05/02/2006
Last updated
10/19/2018
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