Organization
DALLAS VAMC
Active
Organization
DALLAS VAMC
Active
Other names
Tyler VA Clinic 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
428 CENTENNIAL PKWY, TYLER, TX 75703-7166
(903) 266-5951
(903) 486-9701
Mailing address
PO BOX 94493, CLEVELAND, OH 44101-4493
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
02/25/2022
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