COLUMBIA SC PHARMACY (2773)    INSTITUTION (4)

Name Value
NAME COLUMBIA SC PHARMACY
STATE SOUTH CAROLINA
STREET ADDR. 1 6439 GARNERS FERRY ROAD
CITY COLUMBIA
ZIP 29209-1638
OFFICIAL VA NAME Columbia SC Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME COLUMBIA SC VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1104884014
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:   1104884014