COLUMBIA MO PHARMACY (2790)    INSTITUTION (4)

Name Value
NAME COLUMBIA MO PHARMACY
STATE MISSOURI
STREET ADDR. 1 800 Hospital Dr.
CITY Columbia
ZIP 65201-5275
OFFICIAL VA NAME Columbia MO Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME COLUMBIA MO VAMC PHARMACY
ST. ADDR. 1 (MAILING) 800 Hospital Dr.
CITY (MAILING) Columbia
STATE (MAILING) MISSOURI
ZIP (MAILING) 65201-5275
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1194783001
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1194783001