CORPUS CHRISTI PHARMACY (2900)    INSTITUTION (4)

Name Value
NAME CORPUS CHRISTI PHARMACY
STATE TEXAS
STREET ADDR. 1 5283 OLD BROWNSVILLE RD.
CITY CORPUS CHRISTI
ZIP 78405-3908
OFFICIAL VA NAME CORPUS CHRISTI PHARMACY
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME CORPUS CHRISTI VA CBOC PHARMACY
ST. ADDR. 1 (MAILING) 5283 OLD BROWNSVILLE RD.
CITY (MAILING) CORPUS CHRISTI
STATE (MAILING) TEXAS
ZIP (MAILING) 78405-3908
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1780632513
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:   1780632513