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NPI Code Detail

MEDICARE: BUFFALO VAMC

MEDICARE: BUFFALO 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
13346017OTHERNYNCPDP#

General Provider Information

NPI Number : 1306803424
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUFFALO VAMC
Provider Business Mailing Address
First Line : PO BOX 94434
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4434
Country : US
Telephone Number : 717-277-6567
Fax Number :
Provider Business Practice Location Address
First Line : 222 RICHMOND AVE
Second Line :
City : BATAVIA
State : NY
Zip : 14020-1227
Country : US
Telephone Number : 716-834-9200
Fax Number : 716-862-6348
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN DENISE POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/01/2006
Last Update Date : 01/11/2023

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