VIERA PHARMACY (2879)    INSTITUTION (4)

Name Value
NAME VIERA PHARMACY
STATE FLORIDA
STREET ADDR. 1 2900 Veterans Way
CITY Viera
ZIP 32940-8007
OFFICIAL VA NAME Viera Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME VIERA VA CBOC PHARMACY
ST. ADDR. 1 (MAILING) 2900 Veterans Way
CITY (MAILING) Viera
STATE (MAILING) FLORIDA
ZIP (MAILING) 32940-8007
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1548593502
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:   1659329571