WILMINGTON DE VAMC PHARMACY (2751)    INSTITUTION (4)

Name Value
NAME WILMINGTON DE VAMC PHARMACY
STATE DELAWARE
STREET ADDR. 1 1601 KIRKWOOD HWY
CITY Wilmington
ZIP 19805-4917
OFFICIAL VA NAME Wilmington Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WILMINGTON DE VAMC PHARMACY
ST. ADDR. 1 (MAILING) 1601 KIRKWOOD HWY
CITY (MAILING) Wilmington
STATE (MAILING) DELAWARE
ZIP (MAILING) 19805-4917
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1003864208
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1003864208