| NAME |
ZZ-ROME VA CBOC PHARMACY |
| STATE |
NEW YORK |
| STREET ADDR. 1 |
125 BROOKLEY RD. |
| CITY |
ROME |
| ZIP |
13441-4301 |
| OFFICIAL VA NAME |
ROME PHARMACY |
| INACTIVE FACILITY FLAG |
INACTIVE |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
ROME VA CBOC PHARMACY |
| ST. ADDR. 1 (MAILING) |
125 BROOKLEY RD. |
| CITY (MAILING) |
ROME |
| STATE (MAILING) |
NEW YORK |
| ZIP (MAILING) |
13441-4301 |
| EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1346298155
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1346298155
|
