WHITE RIVER JUNCTION PHARMACY (2904)    INSTITUTION (4)

Name Value
NAME WHITE RIVER JUNCTION PHARMACY
STATE VERMONT
STREET ADDR. 1 215 N MAIN ST
CITY White River Junction
ZIP 05001-3833
OFFICIAL VA NAME White River Junction Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME WHITE RIVER JUNCTION VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1790733996
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:   1790733996