FORT HARRISON PHARMACY (2859)    INSTITUTION (4)

Name Value
NAME FORT HARRISON PHARMACY
STATE MONTANA
STREET ADDR. 1 3687 VETERANS DR
CITY FORT HARRISON
ZIP 59636-9703
OFFICIAL VA NAME Fort Harrison Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MONTANA VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1538117593
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   3687 VETERANS DRIVE
    CITY (CHANGED FROM):   Fort Harrison
    STATE (CHANGED FROM):   MONTANA
    ZIP (CHANGED FROM):   59636-9703
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1538117593