MONTEREY PHARMACY (2778)    INSTITUTION (4)

Name Value
NAME MONTEREY PHARMACY
STATE CALIFORNIA
STREET ADDR. 1 201 9TH STREET
CITY MARINA
ZIP 93933-6039
OFFICIAL VA NAME Monterey Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MARINA VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1124078308
  • 2022-07-06 00:00:00
    STATUS:   INACTIVE
    NPI:   1124078308
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:   1124078308