MONTGOMERY PHARMACY (2907)    INSTITUTION (4)

Name Value
NAME MONTGOMERY PHARMACY
STATE ALABAMA
STREET ADDR. 1 215 Perry Hill Rd.
CITY Montgomery
ZIP 36109-3725
OFFICIAL VA NAME Montgomery Pharmacy
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MONTGOMERY VAMC PHARMACY
ST. ADDR. 1 (MAILING) 215 Perry Hill Rd.
CITY (MAILING) Montgomery
STATE (MAILING) ALABAMA
ZIP (MAILING) 36109-3725
EFFECTIVE DATE/TIME
  • 2006-08-22 00:00:00
    STATUS:   ACTIVE
    NPI:   1801854146
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:   1801854146