Organization
BOSTON VAMC
Active
Other names
LOWELL VA CBOC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
130 MARSHALL RD, LOWELL, MA 01852-5130
(857) 364-4418
(978) 671-9144
Mailing address
PO BOX 94432, CLEVELAND, OH 44101-4432
(717) 277-6565
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2240238
NCPDP#
MA
Enumeration date
05/04/2006
Last updated
01/11/2023
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