AUGUSTA (DOWNTOWN) PHARMACY (2877)    INSTITUTION (4)

Name Value
NAME AUGUSTA (DOWNTOWN) PHARMACY
STATE GEORGIA
STREET ADDR. 1 950 15th Street
CITY Augusta
ZIP 30901-2608
OFFICIAL VA NAME Augusta (Downtown) Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME AUGUSTA VAMC PHARMACY
ST. ADDR. 1 (MAILING) 950 15th Street
CITY (MAILING) Augusta
STATE (MAILING) GEORGIA
ZIP (MAILING) 30901-2608
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1649237751
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1649237751