WALLA WALLA PHARMACY (2845)    INSTITUTION (4)

Name Value
NAME WALLA WALLA PHARMACY
STATE WASHINGTON
STREET ADDR. 1 77 Wainright Dr.
CITY Walla Walla
ZIP 99362-3975
OFFICIAL VA NAME Walla Walla Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WALLA WALLA VAMC PHARMACY
ST. ADDR. 1 (MAILING) 77 Wainright Dr.
CITY (MAILING) Walla Walla
STATE (MAILING) WASHINGTON
ZIP (MAILING) 99362-3975
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1477501666
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1477501666