WEST HAVEN PHARMACY (2783)    INSTITUTION (4)

Name Value
NAME WEST HAVEN PHARMACY
STATE CONNECTICUT
STREET ADDR. 1 950 Campbell Ave.
CITY West haven
ZIP 06516-2770
OFFICIAL VA NAME West Haven Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WEST HAVEN VAMC PHARMACY
ST. ADDR. 1 (MAILING) 950 Campbell Ave.
CITY (MAILING) West haven
STATE (MAILING) CONNECTICUT
ZIP (MAILING) 06516-2770
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1144278649
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:   1144278649