LIVERMORE PHARMACY (2873)    INSTITUTION (4)

Name Value
NAME LIVERMORE PHARMACY
STATE CALIFORNIA
STREET ADDR. 1 4951 Arroyo Rd
CITY Livermore
ZIP 94550-9650
OFFICIAL VA NAME Livermore Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LIVERMORE VAMC PHARMACY
ST. ADDR. 1 (MAILING) 4951 Arroyo Rd
CITY (MAILING) Livermore
STATE (MAILING) CALIFORNIA
ZIP (MAILING) 94550-9650
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1598723280
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1598723280