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NPI Code Detail

MEDICARE: MUSKOGEE VAMC

MEDICARE: MUSKOGEE VAMC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332100000XDepartment of Veterans Affairs (VA) Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13724487OTHEROKNCPDP

General Provider Information

NPI Number : 1326201138
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUSKOGEE VAMC
Provider Business Mailing Address
First Line : PO BOX 94517
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4517
Country : US
Telephone Number : 913-578-4409
Fax Number :
Provider Business Practice Location Address
First Line : 8921 S MINGO RD
Second Line :
City : TULSA
State : OK
Zip : 74133-5841
Country : US
Telephone Number : 918-628-2648
Fax Number : 918-628-2596
Authorized Official
Title or Position : NPI TEAM
Name : ERIN DENISE POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 07/02/2008
Last Update Date : 04/23/2026

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Practice Fax:

Directions to “MUSKOGEE VAMC ” Practice Location

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