ZZ-WILLIAM V CHAPPEL JR PHARM (2851)    INSTITUTION (4)

Name Value
NAME ZZ-WILLIAM V CHAPPEL JR PHARM
STATE FLORIDA
STREET ADDR. 1 551 NATIONAL HEALTHCARE DR
CITY DAYTONA
ZIP 32114
OFFICIAL VA NAME WILLIAM V CHAPPEL JR PHARMACY
INACTIVE FACILITY FLAG INACTIVE
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME DAYTONA BEACH VA CBOC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1497703698
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1497703698