| NPI | 1235187683 |
|---|---|
| Other Name | LOS ANGELES VA CBOC METHADONE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ERIN DENISE POTTER Npi Team Member 202-382-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332100000X Department of Veterans Affairs (VA) Pharmacy |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-04-03 |