FORT MEADE PHARMACY (2775)    INSTITUTION (4)

Name Value
NAME FORT MEADE PHARMACY
STATE SOUTH DAKOTA
STREET ADDR. 1 113 Commanche Rd.
CITY Fort Meade
ZIP 57741-1002
OFFICIAL VA NAME Fort Meade Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME FORT MEADE VAMC PHARMACY
ST. ADDR. 1 (MAILING) 113 Commanche Rd.
CITY (MAILING) Fort Meade
STATE (MAILING) SOUTH DAKOTA
ZIP (MAILING) 57741-1002
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1114985058
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:   1114985058