AMARILLO PHARMACY (2795)    INSTITUTION (4)

Name Value
NAME AMARILLO PHARMACY
STATE TEXAS
STREET ADDR. 1 6010 Amarillo Blvd. West
CITY Amarillo
ZIP 79106-1990
OFFICIAL VA NAME Amarillo Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME AMARILLO VAMC PHARMACY
ST. ADDR. 1 (MAILING) 6010 Amarillo Blvd. West
CITY (MAILING) Amarillo
STATE (MAILING) TEXAS
ZIP (MAILING) 79106-1990
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1235197658
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:   1235197658