BEDFORD PHARMACY (2784)    INSTITUTION (4)

Name Value
NAME BEDFORD PHARMACY
STATE MASSACHUSETTS
STREET ADDR. 1 200 Springs Rd.
CITY Bedford
ZIP 01730-1114
OFFICIAL VA NAME Bedford Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BEDFORD VAMC PHARMACY
ST. ADDR. 1 (MAILING) 200 Springs Rd.
CITY (MAILING) Bedford
STATE (MAILING) MASSACHUSETTS
ZIP (MAILING) 01730-1114
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1154388288
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:   1154388288