EAST ORANGE PHARMACY (2758)    INSTITUTION (4)

Name Value
NAME EAST ORANGE PHARMACY
STATE NEW JERSEY
STREET ADDR. 1 385 Tremont Ave.
CITY East Orange
ZIP 07018-1023
OFFICIAL VA NAME East Orange Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME EAST ORANGE VAMC PHARMACY
ST. ADDR. 1 (MAILING) 385 Tremont Ave.
CITY (MAILING) East Orange
STATE (MAILING) NEW JERSEY
ZIP (MAILING) 07018-1023
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1023076957
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:   1023076957