| NAME |
BALTIMORE PHARMACY |
| STATE |
MARYLAND |
| STREET ADDR. 1 |
10 North Greene St. |
| CITY |
Baltimore |
| ZIP |
21201-1524 |
| OFFICIAL VA NAME |
Baltimore Pharmacy |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
BALTIMORE VAMC PHARMACY |
| ST. ADDR. 1 (MAILING) |
10 North Greene St. |
| CITY (MAILING) |
Baltimore |
| STATE (MAILING) |
MARYLAND |
| ZIP (MAILING) |
21201-1524 |
| EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1164480596
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1164480596
|
