LAS VEGAS PHARMACY (2770)    INSTITUTION (4)

Name Value
NAME LAS VEGAS PHARMACY
STATE NEVADA
STREET ADDR. 1 901 RANCHO LANE
CITY LAS VEGAS
ZIP 89106-3836
OFFICIAL VA NAME LAS VEGAS PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LAS VEGAS VAMC PHARMACY
ST. ADDR. 1 (MAILING) 901 RANCHO LANE
CITY (MAILING) LAS VEGAS
STATE (MAILING) NEVADA
ZIP (MAILING) 89106-3836
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1063461853
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1063461853