Organization
GAINESVILLE VAMC
Active
Other names
LAKE CITY VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
619 SOUTH MARION AVE, LAKE CITY, FL 32025-5808
(386) 754-6349
(352) 384-8113
Mailing address
PO BOX 140794, ORLANDO, FL 32814-0794
(407) 622-4142
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1081354
NCPDP#
FL
Enumeration date
05/05/2006
Last updated
02/24/2022
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