Organization
LONG BEACH VAMC
Active
Other names
LONG BEACH 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
5901 E 7TH STREET, LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 346-1742
Mailing address
PO BOX 94407, CLEVELAND, OH 44101-4407
(702) 341-3152
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0570855
NCPDP#
CA
Enumeration date
05/03/2006
Last updated
11/10/2020
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