EL PASO PHARMACY (2895)    INSTITUTION (4)

Name Value
NAME EL PASO PHARMACY
STATE TEXAS
STREET ADDR. 1 5001 N PIEDRAS ST
CITY El Paso
ZIP 79930-4210
OFFICIAL VA NAME El Paso Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME EL PASO VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1740248673
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE MOUNTAIN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1740248673