IRON MOUNTAIN PHARMACY (2857)    INSTITUTION (4)

Name Value
NAME IRON MOUNTAIN PHARMACY
STATE MICHIGAN
STREET ADDR. 1 325 East H St.
CITY Iron Mountain
ZIP 49801-4760
OFFICIAL VA NAME Iron Mountain Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME IRON MOUNTAIN VAMC PHARMACY
ST. ADDR. 1 (MAILING) 325 East H St.
CITY (MAILING) Iron Mountain
STATE (MAILING) MICHIGAN
ZIP (MAILING) 49801-4760
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1528026333
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:   1528026333