BAY PINES PHARMACY (2826)    INSTITUTION (4)

Name Value
NAME BAY PINES PHARMACY
STATE FLORIDA
STREET ADDR. 1 10000 BAY PINES BLVD
CITY BAY PINES
ZIP 33744-8200
OFFICIAL VA NAME Bay Pines Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BAY PINES VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1376591396
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1376591396