Organization
PRESCOTT VAMC
Active
Other names
PRESCOTT VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
500 N HWY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
(928) 776-5301
Mailing address
PO BOX 94411, CLEVELAND, OH 44101-4411
(702) 341-3152
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327280
NCPDP#
AZ
Enumeration date
05/03/2006
Last updated
01/13/2023
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