LOMA LINDA PHARMACY (2800)    INSTITUTION (4)

Name Value
NAME LOMA LINDA PHARMACY
STATE CALIFORNIA
STREET ADDR. 1 11201 Benton St.
CITY Loma Linda
ZIP 92357-1000
OFFICIAL VA NAME Loma Linda Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LOMA LINDA VAMC PHARMACY
ST. ADDR. 1 (MAILING) 11201 Benton St.
CITY (MAILING) Loma Linda
STATE (MAILING) CALIFORNIA
ZIP (MAILING) 92357-1000
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1255399952
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1255399952