REDDING PHARMACY (2897)    INSTITUTION (4)

Name Value
NAME REDDING PHARMACY
STATE CALIFORNIA
STREET ADDR. 1 3455 KNIGHTON RD
CITY Redding
ZIP 96002-9498
OFFICIAL VA NAME Redding Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME REDDING VA CLINIC PHARMACY
ST. ADDR. 1 (MAILING) 3455 KNIGHTON RD
CITY (MAILING) Redding
STATE (MAILING) CALIFORNIA
ZIP (MAILING) 96002-9498
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1750349056
TAXONOMY CODE
  • Suppliers
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1750349056