Organization
SHREVEPORT VAMC
Active
Other names
SHREVEPORT VAMC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 546-4565
Mailing address
PO BOX 94538, CLEVELAND, OH 44101
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
332100000X
Department of Veterans Affairs (VA) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1913462
NCPDP#
LA
Enumeration date
05/04/2006
Last updated
07/10/2025
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