WEST ROXBURY PHARMACY (2757)    INSTITUTION (4)

Name Value
NAME WEST ROXBURY PHARMACY
STATE MASSACHUSETTS
STREET ADDR. 1 1400 VFW Pkwy
CITY West Roxbury
ZIP 02132-4927
OFFICIAL VA NAME West Roxbury Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WEST ROXBURY VAMC PHARMACY
ST. ADDR. 1 (MAILING) 1400 VFW Pkwy
CITY (MAILING) West Roxbury
STATE (MAILING) MASSACHUSETTS
ZIP (MAILING) 02132-4927
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1023066529
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:   1023066529