Organization
DALLAS VAMC
Active
Other names
BONHAM 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
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-6253
(903) 486-9800
Mailing address
PO BOX 94493, 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
—
4539447
NCPDP#
TX
Enumeration date
05/01/2006
Last updated
10/24/2018
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