Organization
WEST HAVEN VAMC
Active
Other names
NEWINGTON VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 667-6727
(860) 667-6752
Mailing address
PO BOX 94449, CLEVELAND, OH 44101-4449
(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
—
NCPDP
0719596
—
Enumeration date
05/03/2006
Last updated
01/11/2023
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