BUFFALO PHARMACY (2893)    INSTITUTION (4)

Name Value
NAME BUFFALO PHARMACY
STATE NEW YORK
STREET ADDR. 1 3495 BAILEY AVE
CITY BUFFALO
ZIP 14215-1129
OFFICIAL VA NAME Buffalo Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME BUFFALO VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1740238252
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
HISTORY
  • STREET ADDR. 1 (CHANGED FROM):   3495 BAILEY AVE PHARMACY 119
    CITY (CHANGED FROM):   BUFFALO
    STATE (CHANGED FROM):   NEW YORK
    ZIP (CHANGED FROM):   14215-1129
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1740238252