Organization
PALO ALTO VAMC
Active
Other names
PALO ALTO VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 849-1292
(650) 858-3989
Mailing address
PO BOX 94415, CLEVELAND, OH 44101-4415
(650) 849-1292
(650) 858-3989
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0592534
NCPDP#
CA
Enumeration date
05/04/2006
Last updated
10/23/2018
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