| NAME |
SAN DIEGO PHARMACY |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
3350 La Jolla Village Rd. |
| CITY |
San Diego |
| ZIP |
92161-0002 |
| OFFICIAL VA NAME |
San Diego Pharmacy |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
SAN DIEGO VAMC PHARMACY |
| ST. ADDR. 1 (MAILING) |
3350 La Jolla Village Rd. |
| CITY (MAILING) |
San Diego |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
92161-0002 |
| EFFECTIVE DATE/TIME |
-
- 2006-08-22 00:00:00
- STATUS: ACTIVE
- NPI: 1528026895
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1528026895
|
