Organization
TAMPA VAMC
Active
Other names
LAKELAND VA CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
2080 MEADOWLAND PARK BLVD, LAKELAND, FL 33803-4326
(863) 701-2470
(813) 829-1536
Mailing address
PO BOX 94470, CLEVELAND, OH 44101-4470
(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
—
5759002
NCPDP
—
Enumeration date
07/17/2024
Last updated
03/25/2026
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