DAYTON PHARMACY (2766)    INSTITUTION (4)

Name Value
NAME DAYTON PHARMACY
STATE OHIO
STREET ADDR. 1 4100 West Third St.
CITY Dayton
ZIP 45428-9000
OFFICIAL VA NAME Dayton Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DAYTON VAMC PHARMACY
ST. ADDR. 1 (MAILING) 4100 West Third St.
CITY (MAILING) Dayton
STATE (MAILING) OHIO
ZIP (MAILING) 45428-9000
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1043278955
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:   1043278955