GRAND JUNCTION PHARMACY (2772)    INSTITUTION (4)

Name Value
NAME GRAND JUNCTION PHARMACY
STATE COLORADO
STREET ADDR. 1 2121 North Ave.
CITY Grand Junction
ZIP 81501-6428
OFFICIAL VA NAME Grand Junction Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GRAND JUNCTION VAMC PHARMACY
ST. ADDR. 1 (MAILING) 2121 North Ave.
CITY (MAILING) Grand Junction
STATE (MAILING) COLORADO
ZIP (MAILING) 81501-6428
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1093773988
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1093773988