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NPI Code Detail

MEDICARE: SAN FRANCISCO VAMC

MEDICARE: SAN FRANCISCO 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
10588713OTHERCANCPDP

General Provider Information

NPI Number : 1689867632
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN FRANCISCO VAMC
Provider Business Mailing Address
First Line : PO BOX 94417
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4417
Country : US
Telephone Number : 702-341-3020
Fax Number :
Provider Business Practice Location Address
First Line : 930 W HARRIS ST
Second Line :
City : EUREKA
State : CA
Zip : 95503-3927
Country : US
Telephone Number : 415-750-6937
Fax Number : 415-750-2055
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN DENISE POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 08/23/2007
Last Update Date : 10/24/2018

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Directions to “SAN FRANCISCO VAMC ” Practice Location

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