BIG SPRING PHARMACY (2832)    INSTITUTION (4)

Name Value
NAME BIG SPRING PHARMACY
STATE TEXAS
STREET ADDR. 1 300 Veterans Blvd.
CITY Big Spring
ZIP 79720-5566
OFFICIAL VA NAME Big Spring Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BIG SPRING VAMC PHARMACY
ST. ADDR. 1 (MAILING) 300 Veterans Blvd.
CITY (MAILING) Big Spring
STATE (MAILING) TEXAS
ZIP (MAILING) 79720-5566
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1407813538
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:   1407813538