COATESVILLE PHARMACY (2905)    INSTITUTION (4)

Name Value
NAME COATESVILLE PHARMACY
STATE PENNSYLVANIA
STREET ADDR. 1 1400 Black Horse Hill Rd.
CITY Coatesville
ZIP 19320-2040
OFFICIAL VA NAME Coatesville Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME COATESVILLE VAMC PHARMACY
ST. ADDR. 1 (MAILING) 1400 Black Horse Hill Rd.
CITY (MAILING) Coatesville
STATE (MAILING) PENNSYLVANIA
ZIP (MAILING) 19320-2040
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1790743706
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:   1790743706