GREENVILLE VA CBOC PHARMACY (2801)    INSTITUTION (4)

Name Value
NAME GREENVILLE VA CBOC PHARMACY
STATE SOUTH CAROLINA
STREET ADDR. 1 41 PARK CREEK DRIVE
CITY GREENVILLE
ZIP 29605-4270
OFFICIAL VA NAME GREENVILLE VA CBOC PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GREENVILLE SC VA CLINIC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1265490155
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:   1265490155