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NPI Code Detail

MEDICARE: MONTGOMERY VAMC

MEDICARE: MONTGOMERY 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
10126842OTHERALNCPDP#

General Provider Information

NPI Number : 1801854146
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTGOMERY VAMC
Provider Business Mailing Address
First Line : PO BOX 89470
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-6470
Country : US
Telephone Number : 828-257-2333
Fax Number :
Provider Business Practice Location Address
First Line : 215 PERRY HILL ROAD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36109-3725
Country : US
Telephone Number : 334-272-4670
Fax Number : 334-260-4133
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/03/2006
Last Update Date : 11/10/2020

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Directions to “MONTGOMERY VAMC ” Practice Location

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