OMAHA PHARMACY (2824)    INSTITUTION (4)

Name Value
NAME OMAHA PHARMACY
STATE NEBRASKA
STREET ADDR. 1 4101 Woolworth Ave.
CITY Omaha
ZIP 68105-1850
OFFICIAL VA NAME Omaha Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME OMAHA VAMC PHARMACY
ST. ADDR. 1 (MAILING) 4101 Woolworth Ave.
CITY (MAILING) Omaha
STATE (MAILING) NEBRASKA
ZIP (MAILING) 68105-1850
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1366491524
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:   1366491524