CANANDAIGUA PHARMACY (2786)    INSTITUTION (4)

Name Value
NAME CANANDAIGUA PHARMACY
STATE NEW YORK
STREET ADDR. 1 400 FORT HILL AVE (119-B)
CITY Canandaigua
ZIP 14424-1159
OFFICIAL VA NAME Canandaigua Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CANANDAIGUA VAMC PHARMACY
ST. ADDR. 1 (MAILING) 400 FORT HILL AVE (119-B)
CITY (MAILING) Canandaigua
STATE (MAILING) NEW YORK
ZIP (MAILING) 14424-1159
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1164480273
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:   1164480273