Organization
HONOLULU VAMC
Active
Other names
HONOLULU 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
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0770
(808) 433-7731
Mailing address
PO BOX 94406, CLEVELAND, OH 44101-4406
(702) 341-3020
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1204419
NCPDP#
HI
Enumeration date
05/02/2006
Last updated
05/13/2021
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