MURFREESBORO PHARMACY (2810)    INSTITUTION (4)

Name Value
NAME MURFREESBORO PHARMACY
STATE TENNESSEE
STREET ADDR. 1 3400 LEBANON RD
CITY Murfreesboro
ZIP 37129-1237
OFFICIAL VA NAME Murfreesboro Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MURFREESBORO VAMC PHARMACY
ST. ADDR. 1 (MAILING) 3400 LEBANON RD
CITY (MAILING) Murfreesboro
STATE (MAILING) TENNESSEE
ZIP (MAILING) 37129-1237
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1316905904
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:   1316905904