Organization
BRONX VAMC
Active
Other names
BRONX 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
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
(718) 741-4653
Mailing address
PO BOX 94433, CLEVELAND, OH 44101-4433
(717) 277-6567
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3336725
NCPDP#
NY
Enumeration date
05/01/2006
Last updated
01/11/2023
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