ST. ALBANS PHARMACY (2780)    INSTITUTION (4)

Name Value
NAME ST. ALBANS PHARMACY
STATE NEW YORK
STREET ADDR. 1 17900 LINDEN BLVD
CITY JAMAICA
ZIP 11434-1468
OFFICIAL VA NAME St. Albans Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME JAMAICA VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1134177694
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):   179-00 LINDEN BLVD
    CITY (CHANGED FROM):   JAMAICA
    STATE (CHANGED FROM):   NEW YORK
    ZIP (CHANGED FROM):   11434-1468
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1134177694