LITTLE ROCK PHARMACY (2892)    INSTITUTION (4)

Name Value
NAME LITTLE ROCK PHARMACY
STATE ARKANSAS
STREET ADDR. 1 4300 West 7th St.
CITY Little Rock
ZIP 72205-5446
OFFICIAL VA NAME Little Rock Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME LITTLE ROCK VAMC PHARMACY
ST. ADDR. 1 (MAILING) 4300 West 7th St.
CITY (MAILING) Little Rock
STATE (MAILING) ARKANSAS
ZIP (MAILING) 72205-5446
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1720046725
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1720046725