Organization
SAN ANTONIO VAMC
Active
Other names
KERRVILLE VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
3600 MEMORIAL BLVD, KERRVILLE, TX 78028-5768
(210) 617-5300
(830) 792-2499
Mailing address
PO BOX 94546, CLEVELAND, OH 44101
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4593693
NCPDP#
TX
Enumeration date
05/02/2006
Last updated
05/22/2024
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