WACO PHARMACY (2754)    INSTITUTION (4)

Name Value
NAME WACO PHARMACY
STATE TEXAS
STREET ADDR. 1 4800 MEMORIAL DR.
CITY WACO
ZIP 76711-1329
OFFICIAL VA NAME WACO PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WACO VAMC PHARMACY
ST. ADDR. 1 (MAILING) 4800 MEMORIAL DR.
CITY (MAILING) WACO
STATE (MAILING) TEXAS
ZIP (MAILING) 76711-1329
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1013965235
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1013965235