AUGUSTA (UPTOWN) PHARMACY (2791)    INSTITUTION (4)

Name Value
NAME AUGUSTA (UPTOWN) PHARMACY
STATE GEORGIA
STREET ADDR. 1 1 FREEDOM WAY #114
CITY AUGUSTA
ZIP 30904-6258
OFFICIAL VA NAME Augusta (Uptown) Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME AUGUSTA UPTOWN VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1194783142
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:   1194783142