Organization
GAINESVILLE VAMC
Active
Other names
GAINESVILLE 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
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-7666
(352) 379-4139
Mailing address
PO BOX 94468, CLEVELAND, OH 44101-4468
(866) 793-4591
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1098993
NCPDP#
FL
Enumeration date
05/02/2006
Last updated
03/28/2023
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