ALBUQUERQUE PHARMACY (2828)    INSTITUTION (4)

Name Value
NAME ALBUQUERQUE PHARMACY
STATE NEW MEXICO
STREET ADDR. 1 1501 San Pedro SE
CITY Albuquerque
ZIP 87108-5153
OFFICIAL VA NAME Albuquerque Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ALBUQUERQUE VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1396703336
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1396703336