| NAME |
CHICO PHARMACY |
| STATE |
CALIFORNIA |
| STREET ADDR. 1 |
1601 CONCORD AVE |
| CITY |
CHICO |
| ZIP |
95928-9487 |
| OFFICIAL VA NAME |
CHICO PHARMACY |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
CHICO VA CLINIC PHARMACY |
| ST. ADDR. 1 (MAILING) |
1601 CONCORD AVE |
| CITY (MAILING) |
CHICO |
| STATE (MAILING) |
CALIFORNIA |
| ZIP (MAILING) |
95928-9487 |
| EFFECTIVE DATE/TIME |
-
- 2006-09-21 00:00:00
- STATUS: ACTIVE
- NPI: 1598713703
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
PACIFIC |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| HISTORY |
-
- STREET ADDR. 1 (CHANGED FROM): 1601 CONCORD AVENUE
- CITY (CHANGED FROM): CHICO
- STATE (CHANGED FROM): CALIFORNIA
- ZIP (CHANGED FROM): 95928-9487
|
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1598713703
|
