OAKLAND VA CBOC PHARMACY (2771)    INSTITUTION (4)

Name Value
NAME OAKLAND VA CBOC PHARMACY
STATE CALIFORNIA
STREET ADDR. 1 2221 MARTIN LUTHER KING JR WAY
CITY OAKLAND
ZIP 94612-1318
OFFICIAL VA NAME OAKLAND VA CBOC PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME OAKLAND VA CBOC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1073561817
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:   1073561817