TAMPA PHARMACY (2894)    INSTITUTION (4)

Name Value
NAME TAMPA PHARMACY
STATE FLORIDA
STREET ADDR. 1 12210 BRUCE B DOWNS BLVD
CITY Tampa
ZIP 33612-9211
OFFICIAL VA NAME Tampa Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME TAMPA VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1740238666
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:   1740238666