NORTH LITTLE ROCK PHARMACY (2811)    INSTITUTION (4)

Name Value
NAME NORTH LITTLE ROCK PHARMACY
STATE ARKANSAS
STREET ADDR. 1 2200 Fort Roots Dr.
CITY North Little Rock
ZIP 72114-1709
OFFICIAL VA NAME North Little Rock Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME NORTH LITTLE ROCK VAMC PHARMACY
ST. ADDR. 1 (MAILING) 2200 Fort Roots Dr.
CITY (MAILING) North Little Rock
STATE (MAILING) ARKANSAS
ZIP (MAILING) 72114-1709
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1316905920
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:   1316905920