SAN ANTONIO PHARMACY (2856)    INSTITUTION (4)

Name Value
NAME SAN ANTONIO PHARMACY
STATE TEXAS
STREET ADDR. 1 7400 MERTON MINTER BLVD
CITY San Antonio
ZIP 78229-4404
OFFICIAL VA NAME San Antonio Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME SAN ANTONIO VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1518925809
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   7400 Merton Minter Blvd.
    CITY (CHANGED FROM):   San Antonio
    STATE (CHANGED FROM):   TEXAS
    ZIP (CHANGED FROM):   78229-4404
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1518925809