WORCESTER PHARMACY (2759)    INSTITUTION (4)

Name Value
NAME WORCESTER PHARMACY
STATE MASSACHUSETTS
STREET ADDR. 1 605 LINCOLN ST
CITY WORCESTER
ZIP 01605-1901
OFFICIAL VA NAME Worcester Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WORCESTER VA CBOC PHARMACY
ST. ADDR. 1 (MAILING) 605 Lincoln Street
CITY (MAILING) Worcester
STATE (MAILING) MASSACHUSETTS
ZIP (MAILING) 01605-1901
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:   1033167564