| NAME |
BILOXI PHARMACY |
| STATE |
MISSISSIPPI |
| STREET ADDR. 1 |
400 VETERANS AVE |
| CITY |
BILOXI |
| ZIP |
39531-2410 |
| OFFICIAL VA NAME |
Biloxi Pharmacy |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
BILOXI VAMC PHARMACY |
| ST. ADDR. 1 (MAILING) |
400 VETERANS AVE |
| CITY (MAILING) |
BILOXI |
| STATE (MAILING) |
MISSISSIPPI |
| ZIP (MAILING) |
39531-2410 |
| EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1396703427
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
CENTRAL |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 400 Veterans Ave.
- CITY (CHANGED FROM): Biloxi
- STATE (CHANGED FROM): MISSISSIPPI
- ZIP (CHANGED FROM): 39531-2410
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1396703427
|
