ZZ-MARTINEZ PHARMACY (2493)    INSTITUTION (4)

Name Value
NAME ZZ-MARTINEZ PHARMACY
STATE CALIFORNIA
STREET ADDR. 1 150 MUIR ROAD
CITY MARTINEZ
ZIP 94553-4668
OFFICIAL VA NAME MARTINEZ CBOC PHARMACY
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MARTINEZ VA CBOC PHARMACY
ST. ADDR. 1 (MAILING) 150 MUIR ROAD
CITY (MAILING) MARTINEZ
STATE (MAILING) CALIFORNIA
ZIP (MAILING) 94553-4668
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1114975570
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1114975570