TUSCALOOSA PHARMACY (2804)    INSTITUTION (4)

Name Value
NAME TUSCALOOSA PHARMACY
STATE ALABAMA
STREET ADDR. 1 3701 LOOP ROAD EAST
CITY Tuscaloosa
ZIP 35404-5015
OFFICIAL VA NAME Tuscaloosa Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TUSCALOOSA VAMC PHARMACY
ST. ADDR. 1 (MAILING) 3701 LOOP ROAD EAST
CITY (MAILING) Tuscaloosa
STATE (MAILING) ALABAMA
ZIP (MAILING) 35404-5015
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1295783470
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:   1295783470