CINCINNATI PHARMACY (2776)    INSTITUTION (4)

Name Value
NAME CINCINNATI PHARMACY
STATE OHIO
STREET ADDR. 1 3200 VINE ST
CITY Cincinnati
ZIP 45220-2213
OFFICIAL VA NAME Cincinnati Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CINCINNATI VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1114985116
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   3200 Vine St.
    CITY (CHANGED FROM):   Cincinnati
    STATE (CHANGED FROM):   OHIO
    ZIP (CHANGED FROM):   45220-2213
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1114985116