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RICHMOND VAMC

Suppliers Department of Veterans Affairs (VA) Pharmacy

Provider NPI: 1013975317

Organization Information:
Organization Name:  RICHMOND VAMC
Organization is not Subpart
Authorized Official:  ERIN DENISE POTTER  NPI TEAM MEMBER  202-382-2579

Practice Location:
1201 BROAD ROCK BLVD  RICHMOND, VA 23249-0001 US
Tel: 804-675-5000  Fax: 804-675-6828

Business Mailing Address:
PO BOX 89464  CLEVELAND, OH 44101-6464 US
Tel: 828-257-2333  Fax: --

NPI Information:
NPI: 1013975317
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332100000XSuppliers
Department of Veterans Affairs (VA) Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
NCPDP#4837944VA01



American Medical Association 2012 taxonomy code information

Code: 332100000X

Type:

Classification:



Definition:



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