| NAME |
CHARLESTON PHARMACY |
| STATE |
SOUTH CAROLINA |
| STREET ADDR. 1 |
109 BEE ST. |
| CITY |
CHARLESTON |
| ZIP |
29401-5703 |
| OFFICIAL VA NAME |
Charleston Pharmacy |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CHARLESTON VAMC PHARMACY |
| ST. ADDR. 1 (MAILING) |
109 Bee St. |
| CITY (MAILING) |
Charleston |
| STATE (MAILING) |
SOUTH CAROLINA |
| ZIP (MAILING) |
29401-5799 |
| EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1265490262
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1265490262
|
