Organization
FAYETTEVILLE VAMC
Active
Other names
FAYETTEVILLE NC VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
(910) 822-7028
Mailing address
PO BOX 89494, CLEVELAND, OH 44101-6494
(828) 257-2333
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3429417
NCPDP#
NC
Enumeration date
05/02/2006
Last updated
04/11/2024
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